Methods and compositions for the inhibition of cathepsins

ABSTRACT

Methods and compositions for modulating cell death by contacting a cell with an Spi2A polypeptide or an Spi2A polypeptide equivalent are disclosed. In addition, methods of treating a subject by providing the subject a composition that includes an Spi2A polypeptide or an Spi2A polypeptide equivalent are disclosed. The Spi2A polypeptide and Spi2A polypeptide equivalent can be delivered to the subject using gene therapy techniques. The subject can be a patient with a disease associated with an abnormal rate of cell death, such as septic shock or myocardial infarction. Also disclosed are methods of preparing and storing donor granulocytes, involving contacting the donor granulocytes with an Spi2A polypeptide or an Spi2A polypeptide equivalent.

[0001] This application claims the benefit of U.S. Provisional Application No. 60/448,285, filed on Feb. 19, 2003, which is incorporated by reference in its entirety.

[0002] The government owns rights in the present invention pursuant to grant number AI45108 from the National Institutes of Health.

BACKGROUND OF THE INVENTION

[0003] 1. Field of the Invention

[0004] The present invention relates generally to the fields of molecular biology, cell biology, and pharmacology. More particularly, it concerns methods and compositions for modulating cell death using a serine protease inhibitor 2A (Spi2A) polypeptide or a Spi2A polypeptide equivalent.

[0005] 2. Description of Related Art

[0006] A wide variety of factors are involved in the control of survival of a cell. Some of these factors have been shown to be initiated within specific cellular organelles. For example, the mitochondrion is involved in the caspase-mediated apoptotic pathway of cell death. Ligation of ‘death receptors,’ such as tumor necrosis factor receptor 1 (TNF-R1), causes the release of mitochondrial proteins into the cytoplasm of a cell. The release of mitochondrial proteins into the cell triggers the caspase protease cascade, which in turn results in apoptosis (Budihardjo et al., 1999).

[0007] In addition to the mitochondrion, the lysosome also plays a role in modulating cell death (Ferri and Kroemer, 2001). Cathepsins, which are cysteine proteases, are located within lysosomes. There are eleven human cathespins (B, H, L, S, C, K, O, F, V, X and W) that are now known at the sequential level (reviewed in Turk et al., 2002). TNF-R1 can trigger cell death independently of caspases by causing lysosomes to release cathepsin B into the cytoplasm. The released cathepsin B acts as a dominant executioner protease (Foghsgaard et al., 2001).

[0008] Thus, there are two pathways of apoptotic cell death. In the caspase-independent (lysosomal) pathway, cell death is mediated by lysosomal release of cathepsins. In the caspase-dependent pathway, cell death is mediated by the caspase protease cascade.

[0009] NF-κB completely blocks the TNF-α pathway leading to apoptosis through the activation of protective genes (Beg and Baltimore, 1996). This implies that NF-κB inhibits both the caspase and lysosomal pathways of cell death. Nevertheless, no single pharmacological agent has been identified which can inhibit both pathways of cell death.

[0010] Serine protease inhibitor 2A (Spi2A) was originally described in the teratocarcinoma cell line EB22 (Inglis et al., 1991). Murine Spi2A has some features of the intracellular serpins although it is most closely related to human antichymotrypsin (Hampson et al., 1997). Curiously, the original cDNA was truncated at the 5′ end as a result of an alternative splicing event. It was subsequently shown that this serpin was part of a multigene cluster of at least nine serpins on murine chromosome 12 at a locus syntenic with human chromosome 14q32.1 (Inglis and Hill, 1991). The human locus contains the genes encoding antitrypsin, antichymotrypsin, protein C inhibitor and cortisol binding globulin (CBG). After its original description, Spi2A was identified as a gene expressed in the pluripotent hemopoietic cell line FDCP-Mix A4, which was dramatically down-regulated upon differentiation. (Hampson et al., 1997). Similarly, when granulocyte macrophage-colony forming cells (GM-CFC) were isolated from murine bone marrow and induced to differentiate, down regulation of expression could be shown. When FDCP-Mix A4 cells were stably transfected with Spi2A, they showed delayed differentiation and increased clonogenic potential (Hampson et al., 1997). Northern blot studies showed Spi2A message in lymphoid tissues and expression was markedly upregulated in primary splenocyte cultures upon T cell activation.

[0011] Inhibitors of both the caspase-dependent and caspase-independent pathways of cell death can provide a novel means of inhibiting cell death since the need to target both pathways with different agents would be overcome. In addition, these agents could be applied in the treatment of diseases and conditions associated with cell death. For example, these agents can be applied to prevent cell death associated with inflammatory diseases such as sepsis (Bochud and Calandra, 2003), hepatits and liver cirrhosis (viral and chemical induced) (Crawford, 1999). In addition these agents can be used to treat disease caused by ischemia-induced cell death, such as myocardial infarction. (Itoh et al., 1995; Kajstura et al., 1996). These agents can also be used to prevent the apoptotic cell death that commonly occurs in donor granulocytes during the process of preparation of the granulocytes for subsequent transfusion to a recipient (Brach et al., 1992).

[0012] In the absence of caspase activity, one possible way in which cathepsin B released into the cytoplasm promotes cell death is through activation of Bid, leading to mitochondrial dysfunction and the production of damaging reactive oxygen species (ROS) (Ferri and Kroemer, 2001). The loss of lysosome integrity and the release of cathepsins and other digestive enzymes is a critical event in the induction of not only apoptosis but also coagulative necrosis (Ferri and Kroemer, 2001; Wyllie et al., 1981). Therefore, agents that can inhibit both pathways of cell death can also provide a novel means of protection against cell death and dysfunction that is related to necrosis, lysosomal instability, and ROS.

[0013] Agents that inhibit both pathways of cell death can also be applied as therapeutic agents in the treatment of diseases associated with abnormal lysosomal cysteine protease activity. When secreted, lysosomal cysteine proteases can be very harmful for their environment, resulting in pathological conditions. Cysteine proteases have been observed to be involved in a number of diseases (see, generally, Turk et al., 2002) such as rheumatoid arthritis and osteoarthritis (Mort et al., 1984; Mort et al., 1998; Baici et al, 1988; Baici et al., 1995), Alzheimer disease (Cataldo and Nixon, 1990), multiple sclerosis (Bever and Garver, 1995) and muscular dystrophy (Takeda et al., 1992, Kominami et al., 1987). In many of these diseases, lysosomal enzymes were found to be present in the extracellular/extralysosomal environment in the proforms, which are substantially more stable than the mature enzymes. There is also evidence that lysosomal cysteine proteases are also involved in neuronal apoptosis (Nixon and Cataldo, 1993).

[0014] Cysteine proteases, in particular cathepsin B, have also been shown to be associated with malignancy (Poole et al., 1980; Sloane et al., 1981; Turk et al., 2002). Other studies have shown that cathepsins B, H and L are involved in cancer progression either by direct degradation of extracellular matrix or by activation of other proteases, such as urokinase-type plasminogen activator (reviewed in Turk et al., 2002). This involvement could be accomplished by increases in secretion, mRNA and protein levels and activity.

[0015] Therefore, the identification of modulators of both the caspase-dependent and caspase-independent mechanisms could be applied in new forms of treatment in diseases and conditions that are associated with cell death due apoptosis, necrosis, lysosomal instability, ROS, and other related mechanisms. Agents that are inhibitors of both pathways of cell death can also be used to prevent apoptosis that commonly occurs in donor granulocytes following harvesting and preparation for administration to a recipient. In addition, these agents can also be used in treating patients with conditions associated with abnormal cysteine protease activity, such as cancer.

SUMMARY OF THE INVENTION

[0016] The inventor has discovered that Spi2A inhibits both the caspase pathway and caspase-independent pathway of cell death. In particular, it has been discovered that NF-κB complexes inhibit the cathepsin B pathway of cell death, and Spi2A is a mediator of this inhibition. It has been shown that the inhibition of the cathepsin B pathway of cell death is the result of activation of TNF-R1. TNF-R1 has been shown to induce the NFκB-dependent, up-regulation of Spi2A, a potent inhibitor of cysteine cathepsins. As described for other NF-κB target genes, the expression of Spi2A antagonizes the caspase-dependent pathway of apoptosis (Baldwin, 2001). However, since lysosomal cathepsin B can induce cell death without caspase activation, Spi2A also affords protection against caspase-independent cell death (Borner and Monney, 1999). Therefore, a novel mechanism by which NF-κB blocks the lysosomal pathway of cell death has been identified. In view of these findings, Spi2A and Spi2A equivalents can be used as novel agents to modulate cell death in a target cell and can be used in new forms of treatment of diseases and conditions associated with cell death, lysosomal instability, and abnormal cysteine protease activity.

[0017] Certain embodiments of the present invention are generally concerned with methods of modulating cell death in a cell, which is achieved by contacting the target cell with an Spi2A polypeptide or an Spi2A polypeptide equivalent. As used herein, “Spi2A” will refer to murine Spi2A, and is further discussed in the specification below. An Spi2A polypeptide pertains to a polypeptide based on the sequence of murine Spi2A. A polypeptide of any length is contemplated by the present invention, including a polypeptide based on the full amino acid sequence of Spi2A.

[0018] “Spi2A polypeptide equivalent,” discussed in detail in the specification below, includes any Spi2A polypeptide in which some, or most, of the amino acids may be substituted so long as the polypeptide retains substantially similar activity in the context of the uses set forth herein.

[0019] For example, a Spi2A polypeptide equivalent includes a polypeptide from Serpin B1, Serpin B2, Serpin B3, Serpin B4, Serpin B6, Serpin B8, or Serpin B9. In certain particular embodiments of the present invention, a Spi2A polypeptide equivalent is a Serpin B9 polypeptide.

[0020] Other examples of Spi2A polypeptide equivalents that are anticipated to have an acceptable level of equivalent biological activity of Spi2A includes polypeptides having the amino acid sequence MAGVGCCA (SEQ ID NO:10) or polypeptides having the amino acid sequence FVVAECCM (SEQ ID NO:11). These amino acid sequences are part of Spi2A and PI9, respectively. The Spi2A polypeptide equivalents may include all or part of these amino acid sequences. For example, the Spi2A polypeptide equivalent may include 8, 7, 6, 5, or 4 consecutive amino acids in forward or reverse orientation from either of these amino acid sequences. Any number of additional amino acid residues may be located at the C-terminal or N-terminal of the polypeptide.

[0021] In further embodiments, the Spi2A polypeptide or Spi2A polypeptide equivalent includes an amino acid sequence designed to facilitate incorporation of the polypeptide into the intracellular compartment of the cell. Although a person of ordinary skill in the art would understand that the Spi2A polypeptide or Spi2A polypeptide equivalent can be fused to any amino acid sequence known to facilitate internalization into the intracellular compartment, a specific embodiment involves use of a polypeptide encoding an amino acid TAT sequence from HIV. In another embodiment, the Spi2A polypeptide or Spi2A polypeptide equivalent is fused to a polypeptide encoding an Antp amino acid sequence. Still another embodiment involves fusion of an Spi2A polypeptide or Spi2A polypeptide equivalent to a polypeptide encoding a VP22 amino acid sequence from HSV.

[0022] The present invention contemplates embodiments that require use of Spi2A polypeptides and Spi2A equivalent polypeptides to modulate cell death wherein the cell death is related to any known mechanism of cell death.

[0023] In certain embodiments of the invention, the method for modulating cell death is further defined as a method for modulating apoptosis. In some embodiments, the method for modulating apoptosis is further defined as a method for modulating cell death of a T lymphocyte. Modulation of death of T lymphocytes can be applied in embodiments of the invention that are directed to methods of facilitating the differentiation of a lymphocyte into a memory T lymphocyte.

[0024] In some embodiments of the present invention, the Spi2A polypeptide or Spi2A polypeptide equivalent is comprised in a vaccine. The vaccine, for example, may be directed against a target cell in a subject, such as a tumor cell or a cell that is infected by a pathogen. For example, the tumor cell may be a cell from a breast cancer, lung cancer, ovarian cancer, brain cancer, liver cancer, cervical cancer, colon cancer, renal cancer, skin cancer, head & neck cancer, bone cancer, esophageal cancer, bladder cancer, uterine cancer, lymphatic cancer, stomach cancer, pancreatic cancer, testicular cancer, lymphoma, or leukemia. The virus can be any virus known to those of ordinary skill in the art. For example, in some embodiments the virus is HIV, HSV, or ADV. The vaccine may include additional agents that are useful in the treatment or prevention of tumors or infections by pathogens.

[0025] The apoptosis may be apoptosis that occurs as a result of increased lysosomal permeability with the cell. Increase in lysosomal permeability can result in release of lysosomal proteases. Thus, embodiments of the present invention pertain to methods of modulating cell death that is further defined as cell death due to release of at least one lysosomal protease in the cell. Although any lysosomal protease is contemplated by the present invention, in preferred embodiments the lysosomal protease is a cysteine protease. For example, the cysteine protease can be cathepsin B, cathepsin H, cathepsin L, cathepsin S, cathepsin K, cathepsin O, cathepsin F, cathepsin V, cathepsin X, or cathepsin W. The present invention also pertains to methods of modulating cell death due to autophagic cell death, TNF-α mediated cell death, cell death due to reactive oxygen species (ROS), and cell death due to necrosis.

[0026] Although one of ordinary skill in the art would understand that any cell is contemplated by the present invention, in preferred embodiments the cell is located in a subject. More specifically, the subject can be a human. The human may or may not be a patient with an underlying disease. Although any disease is contemplated by the present invention, in certain specific embodiments the disease is a disease associated with an abnormal rate of cell death. For example, the patient can have vascular disease. The vascular disease may be occlusive vascular disease or cardiovascular disease. The cardiovascular disease can be a myocardial infarction. More specifically, the myocardial infarction can be an acute myocardial infarction.

[0027] The patient can also have an infection. In a particular embodiment, the infection results in septic shock. The infectious agents may be gram negative or gram positive bacteria or a fungus. The infectious agent causing sepsis may also be a biological weapon such as Bacillus anthracis (leading to cutaneous, inhalation or intestinal anthrax) or Yersinia pestis (leading to bubonic, septicemic or pneumonic plague).

[0028] The disease can also be a disease associated with cell death due to necrosis, reactive oxygen species, or lysosomal instability. These include fulminating hepatic failure caused by hepatitis A, B, C, D, E or G virus, anti-tuberculosis drugs such as rifamycin or isoniazid, anti-depressant monoamine oxidase inhibitor drugs, industrial chemicals such as carbon tetrachloride, or alcohol. The disease may be an inflammatory disease such as hepatitis or liver cirrhosis caused by hepatitis A, B, C, D, E or G virus, anti-tuberculosis drugs such as rifamycin or isoniazid, anti-depressant monoamine oxidase inhibitor drugs, industrial chemicals such as carbon tetrachloride, or alcohol. The inflammatory disease may also be rheumatoid arthritis, or osteoarthritis. The disease can also be emphysema or osteoporosis.

[0029] In another example, the disease or condition may be one that is associated with abnormal cysteine protease activity. For example, the disease can be a bone disease, neurodegenerative disease, Alzheimer disease, viral disease such as HIV, multiple sclerosis, muscular dystrophy, or arthritis including rheumatoid arthritis and osteoarthritis. Because immune disorders have been associated with abnormal cysteine protease activity, the patient can also have an immune disorder. The immune disorder can be an autoimmune disorder or a disorder associated with abnormal antigen presentation. As discussed above, abnormal cysteine protease activity has been associated with cancer.

[0030] Therefore, in a certain embodiment the subject is a patient with cancer. The patient with cancer can be a cancer patient undergoing secondary anti-hyperplastic therapy. Examples of such secondary anti-hyperplastic therapy include chemotherapy, radiotherapy, immunotherapy, phototherapy, cryotherapy, toxin therapy, hormonal therapy or surgery.

[0031] In still further embodiments of the present invention, the Spi2A polypeptide or said Spi2A polypeptide equivalent is included in an expression cassette that further includes a promoter, active in the cell, operably linked to a polynucleotide encoding an Spi2A polypeptide or an Spi2A polypeptide equivalent. In a particular embodiment, the expression cassette includes a promoter, active in the cell, operably linked to a polynucleotide encoding an Spi2A polypeptide. In another particular embodiment, the expression cassette includes a promoter, active in the cell, operably linked to a polynucleotide encoding an Spi2A polypeptide equivalent. The polynucleotide encoding the Spi2A polypeptide or the Spi2A polypeptide equivalent may be comprised in a vaccine.

[0032] Although any Spi2A polypeptide equivalent is contemplated, in certain embodiments the Spi2A polypeptide equivalent one of the previously discussed human equivalents. The expression cassette can be carried in a viral vector. Although one of skill in the art would understand that any viral vector is contemplated by the invention, examples of a viral vector include an adenoviral vector, a retroviral vector, an adeno-associated viral vector, a vaccinia viral vector, or a pox viral vector. The expression cassette can also be carried in a nonviral vector, such as a liposome. Although use of any promoter capable of expression in the cell is contemplated by the present invention, the promoter can be a constitutive promoter, an inducible promoter or a tissue-specific promoter. In certain embodiments, the expression cassette further includes an origin of replication, a polyadenylation signal, or a selectable marker gene.

[0033] In still further embodiments of the invention, the Spi2A polypeptide or Spi2A polypeptide equivalent is obtained from media of cultured cells and applied to the surface of the cell. The cultured cells may or may not include an expression cassette. The expression cassette can include any of the characteristics that have been previously described.

[0034] Other embodiments of the invention pertain to methods of treating a subject that includes (1) providing a composition that includes an Spi2A polypeptide or an Spi2A polypeptide equivalent a pharmaceutical preparation suitable for delivery to said subject; and (2) administering the composition to the subject. In particular embodiments, the composition includes an Spi2A polypeptide. In other particular embodiments, the composition includes an Spi2A polypeptide equivalent, such as any of the previously described human Spi2A equivalents.

[0035] The method of treatment can be further defined as a method of modulating cell death in a subject. The method of modulating cell death can be a method of modulating cell death by any of the mechanisms of cell death previously described in this specification.

[0036] In still further embodiments, the method of treatment is defined as method of treating a disease or condition in a subject. A preferred subject is a human. The human can be a patient with any disease. In specific embodiments, the disease or condition is associated with cell death or abnormal cysteine protease activity. Examples of these diseases have been previously described. In a specific embodiment, the disease is septic shock. In another specific embodiment, the disease is myocardial infarction. The myocardial infarction can be an acute myocardial infarction.

[0037] In some embodiments, the method of treatment is further defined as a method of facilitating the differentiation of memory T lymphocytes wherein the memory T lymphocytes are directed against diseased cells in the subject. In some embodiments, the Spi2A polypeptide or Spi2A polypeptide equivalent is comprised in a vaccine. The diseased cell may be a tumor cell or a cell that is infected by a pathogen. For example, the tumor cell may be a cell from a breast cancer, lung cancer, ovarian cancer, brain cancer, liver cancer, cervical cancer, colon cancer, renal cancer, skin cancer, head & neck cancer, bone cancer, esophageal cancer, bladder cancer, uterine cancer, lymphatic cancer, stomach cancer, pancreatic cancer, testicular cancer, lymphoma, or leukemia. The pathogen may be a virus, such as HIV, HSV, or ADV. Vaccines are discussed in greater detail in the specification below.

[0038] In certain embodiments the composition is delivered systemically. Other examples of methods of delivery include intravascular delivery, and local delivery to a lesion such as a tumor.

[0039] Further embodiments pertain to methods of treating a subject involving administering an Spi2A polypeptide or an Spi2A polypeptide that further includes an amino acid sequence that preferentially targets the protein/polypeptide for intracellular entry. The sequence that targets the Spi2A polypeptide or the Spi2A equivalent polypeptide for intracellular entry can include any of the amino acids previously described or any such sequence known to one of skill in the art.

[0040] The composition can include an expression cassette similar to that which has been noted above. One of skill in the art would understand that a variety of experimental techniques are available to practice the claimed invention using expression cassettes, some of which are discussed in greater detail below.

[0041] Further embodiments of the invention include methods of preparing donor granulocytes for delivery to a subject in need of a granulocyte donation, including: (1) obtaining donor granulocytes from a suitable donor; (2) isolating the donor granulocytoes; (3) contacting the donor granulocytes with a composition comprising an Spi2A polypeptide or an Spi2A polypeptide equivalent and a pharmaceutical preparation suitable for delivery to the donor granulocytes; and (4) administering the donor granulocytes to a subject in need of the donor granulocytes. In a particular embodiment, the composition includes an Spi2A polypeptide. In other particular embodiment, the composition includes an Spi2A equivalent polypeptide, such as the human Spi2A polypeptide equivalents previously described.

[0042] The method of preparing donor granulocytes can be further defined as a method of preparation that results in reduction of apoptosis of the donor granulocytes. The method of preparation can also result in reduction of granulocyte necrosis, reduction of lysosomal instability and reduction of cell death due to ROS. The recipient of the donor granulocytes can be any subject. However, in certain embodiments the subject is a subject with a disorder involving granulocytes. For instance, the subject can be a subject with neutropenia. The neutropenia may be neutropenia that is the result of chemotherapy, radiation therapy, myelosuppressive drug treatment leukemia, aplastic anemia, or idiopathic neutropenia. The neutropenia may or may not be associated with sepsis or septic shock. In other embodiments, the subject is a subject with a qualitative abnormality of neutrophils. For instance, the qualitative abnormality of neutrophils can be chronic granulomatous disease.

[0043] In certain embodiments of the invention, the donor granulocytes are collected from donors who may have been treated with G-CSF to boost granulocytes numbers. In certain other embodiments, the granulocytes are purified by leukapheresis.

[0044] In certain embodiments of the invention, the composition that is contacted with the donor granulocytes includes an expression cassette comprising a promoter, active in cells of the subject, operably linked to a polynucleotide encoding a Spi2A polypeptide or an Spi2A polypeptide equivalent. As previously noted, experimental techniques using expression cassettes are well-known to those of skill in the art. Some of these experimental techniques are discussed below. In a particular embodiment, the composition includes an expression cassette comprising a promoter, active in cells of the subject, operably linked to a polynucleotide encoding an Spi2A polypeptide. In other embodiments, the composition includes an expression cassette comprising a promoter, active in cells of the subject, operably linked to a polynucleotide encoding an Spi2A polypeptide equivalent such as any of the previously described human Spi2A polypeptide equivalents. In further embodiments, the Spi2A polypeptide or the Spi2A polypeptide equivalent includes an amino acid sequence such as one of the previously described amino acid sequences that are known to facilitate intracellular delivery of the protein or polypeptide sequence.

[0045] Certain other embodiments of the invention provide for methods of preparing donor granulocytes for storage, including (a) obtaining donor granulocytes from a suitable donor; (b) isolating the donor granulocytoes; (c) contacting the donor granulocytes with a composition comprising an Spi2A polypeptide or an Spi2A polypeptide equivalent and a pharmaceutical preparation suitable for delivery to the donor granulocytes; and storing the donor granulocytes. In other embodiments, the method of preparating the granulocytes for storage further involves treatment of the donor with C-GSF prior to obtaining granulocytes from the donor. In still other embodiments, the method of preparating the granulocytes for storage further involves purifying the granulocytes by leukapheresis following isolation of the granulocytes.

[0046] The composition can include an Spi2A polypeptide or an Spi2A polypeptide equivalent.

[0047] For example, the Spi2A polypeptide equivalent can be a polypeptide from Serpin B1, Serpin B2, Serpin B3, Serpin B4, Serpin B6, Serpin B8, or Serpin B9. In particular embodiments, the method of preparing the donor granulocytes for storage results in reduction of apoptosis of the donor granulocytes. In still other embodiments, the Spi2A polypeptide or Spi2A polypeptide equivalent can include a polypeptide encoding an amino acid TAT sequence from HIV, a polypeptide encoding an Antp amino acid sequence, or a polypeptide encoding a VP22 amino acid sequence from HSV.

BRIEF DESCRIPTION OF THE DRAWINGS

[0048] The following drawings form part of the present specification and are included to further demonstrate certain aspects of the present invention. The invention may be better understood by reference to one or more of these drawings in combination with the detailed description of specific embodiments presented herein.

[0049] FIGS. 1A-C: NF-κB antagonizes the lysosomal pathway of cell death. FIG. 1A: Percentage survival of RelA^(−/−) MEFs treatment with TNF-α (0.5 ng/ml) and CHX (0.1 μg/ml) in the presence (TNF+CA-074 Me) or absence (TNF) of CA-074 Me (30 μM). The recovery of cells was compared with those incubated with CHX alone (100% recovery) to determine the percentage of recovery. FIG. 1B: Percentage survival of RelA^(−/−) MEFs transduced by retrovirus encoding GFP alone or Rel A. The recovery of cells after 16 h was compared with those incubated with CHX alone (0.1 μg/ml) to determine the percentage of recovery (100% recovery). FIG. 1C: Cathepsin B activity in crude cytoplasmic extracts from RelA^(−/−) MEFs transduced by retrovirus encoding GFP alone or RelA after treatment with TNF-α (0.2 ng/ml) and CHX (0.1 μg/ml). This experiment is representative of two independent experiments.

[0050] FIGS. 2A-C. Induction of Spi2A by NF-κB protects from TNF-α-mediated death. FIG. 2A: Northern blots of mRNA from MEFs treated with TNF-α (0.2 ngml⁻¹) and CHX (0.1 μg/ml). FIG. 2B: Percentage survival of RelA^(−/−) MEFs transduced by retrovirus encoding GFP alone or Spi2A. The recovery of cells after 16 h was compared with those incubated with CHX alone (100% recovery) to determine the percentage of recovery.

[0051]FIG. 2C: Western blot detection of Spi2A from GFP and Spi2A clones of RelA^(−/−) MEF cells and correlation with survival after treatment with TNF-α (1 ng/ml) and CHX (0.1 μg/ml).

[0052] FIGS. 3A-B. Spi2A is required for the protection of wild-type MEFs from TNF-α-induced death. FIG. 3A: Quantitation of endogenous Spi2A mRNA levels by real-time PCR in cloned RelA^(+/+) MEFs transduced by retrovirus encoding GFP alone or anti-sense Spi2A (Spi2A-A) 4 h after treatment with TNF-α (10 ng/ml) and CHX (10 μg/ml). FIG. 3B: Percentage survival of GFP clones and Spi2A-A clones of RelA^(+/+) MEFs 16 h after treatment with TNF-α and CHX (10 μg/ml).

[0053]FIG. 4. Percentage survival of GFP and SpiA-A clones of RelA^(+/+) MEFS 24 h after treatment with TNF-α (100 ng/ml).

[0054] FIGS. 5A-D. Spi2A inhibits apoptosis induced by TNF-α. FIG. 5A: Western blots showing the proteolytic activation of effector molecules from RelA^(−/−) MEFs—GFP (clone 11) or Spi2A (clone 4)—after treatment with TNF-α (0.2 ng/ml) and CHX (0.1 μg/ml). Filled arrows indicate inactive pro-form and open arrows indicate active form of each protein. RelA^(−/−) MEFs—GFP (clone 11) or Spi2A (clone 4)—were treated with TNF-α and CHX as above and the following measured: FIG. 5B: caspase activity; FIG. 5C: mitochondrial depolarization; and FIG. 5D: ROS.

[0055] FIGS. 6A-B. The protease specificity of Spi2A. FIG. 6A: SDS-PAGE showing Spi2A (lane P-53 kD) purified from lysates (lane L) of RelA^(−/−) MEFs transduced with retrovirus encoding Spi2A-3xFLAG. FIG. 6B: Inhibition of proteases by Spi2A. The activity of protease after pre-incubation with Spi2A was compared with activity from protease incubated alone (0% inhibition) and was ±SEM from 3-4 independent experiments with assays performed in duplicate.

[0056] FIGS. 7A-C. Spi2A antagonizes the lysosomal pathway of cell death. FIG. 7A: Cathepsin B activity in crude cytoplasmic extracts from cloned RelA^(−/−) MEFs transduced by retrovirus encoding GFP alone or Spi2A after treatment with TNF-α and CHX as described before. FIG. 7B: Percentage survival of GFP and Spi2A clones of RelA^(−/−) MEFs 2 h after treatment with sphingosine. FIG. 7C: Cathepsin B activity in crude cytoplasmic extracts from cloned RelA^(+/+) MEFs transduced by retrovirus encoding GFP alone or anti-sense Spi2A (Spi2A-A) after treatment with TNF-α. (10 ng/ml) and CHX (10 μg/ml).

[0057]FIG. 8. Spi2A offers partial protection of lysosomal de-acidification in RelA^(+/+) MEFs. RelA^(−/−) MEFs were transduced by retrovirus encoding GFP alone or Spi2A as indicated by the percentage AO-low cells after treatment with TNF-α (0.2 ng/ml) and CHX (0.1 μg/ml). The percentage of intact lysosomes was determined by staining with AO as has been described previously (Zhao et al., 2000). Briefly, cells were incubated with AO (5 μg/ml), washed and collected for flow cytometric assessment of uptake into intact lysosomes as indicated by red fluorescence (FL3 channel).

[0058] FIGS. 9A-B. Spi2A protects NIH3T3 cells from caspase-independent death induced by TNF-α. FIG. 9A: Percentage survival of NIH3T3 cells after treatment with Z-VAD.fmk (50 μM) alone or TNF-α (10 ng/ml) alone or both. The recovery of cells after 16 h was compared with those incubated alone (100% recovery) to determine the percentage of recovery. FIG. 9B: Percentage survival of clones of NIH3T3 cells transduced with retrovirus encoding GFP alone (GFP) or Spi2A (Spi2A cells) after treatment with TNF-α +Z-VAD.fmk (50 μM).

[0059] FIGS. 10A-B. Spi2A is a physiological inhibitor of caspase-independent death. FIG. 10A: Quantitation of endogenous Spi2A mRNA levels by real-time PCR in cloned NIH3T3 cells transduced by retrovirus encoding GFP alone (GFP clones) or anti-sense Spi2A (Spi2A-A clones) 4 h after treatment with either Z-VAD.fmk (50 μM) or Z-VAD.fmk+TNF-α (10 ng/ml). FIG. 10B: Percentage survival of cloned GFP or Spi2A-A NIH3T3 cells after treatment with TNF-α+Z-VAD.fmk (50 μM).

[0060] FIGS. 11A-B. Spi2A inhibits mitochondrial PCD in the absence of caspase activity. Cloned GFP or Spi2A-A NIH3T3 cells were treated with TNF-α (10 pg/ml)+Z-VAD.fmk (50 μM) then FIG. 11A: mitochondrial depolarization, and FIG. 11B: ROS production measured over time.

[0061] FIGS. 12A-B: Spi2A inhibits the lysosomal pathway of death in the absence of caspase activity. FIG. 12A: Cathepsin B activity in crude cytoplasmic extracts from cloned GFP or Spi2A-A NIH3T3 cells before (time=0 h) or after (time=8 h) treatment with TNF-α+Z-VAD.fmk (50 μM). FIG. 12B: Spi2A protects NIH3T3 cells from death due to reactive oxygen species. NIH3T3 fibroblasts from independent clones harboring control retrovirus (GFP clones #, 18, 12 and 2) or one expressing Spi2A (Spi2A clones# 6, 4 and 2) were incubated with Naphazarin—a known initiator of Reactive Oxygen Species (ROS). After 16 hours, the percentage of live cells was determined by flow cytometry as described in Liu et al. (2003). A significantly increased survival of cells from all three clones expressing Spi2A compared to GFP controls was observed.

[0062] FIGS. 13A-B. Gene expression in CD8 cell populations. FIG. 13A: Splenocytes were isolated from uninfected C57BL/6 mice (naïve) or either 8d (effector) or ≧80 d (memory) after infection with LCMV. Naïve (CD44^(low)CD8⁺) cells were directly isolated from splenocytes and purified by FACS using antibodies. Splenocytes isolated from infected mice were first enriched for T cells then stained with H-2D^(b) tetramers loaded with all three immunodominant LCMV peptides and anti-CD8α mAb. The percentages of each population prior to and after FACS are indicated. FIG. 13B: Real-time PCR analysis was performed on cDNA generated from purified CD8 cells. Data are reported as a ratio of the amount of expression of the candidate gene compared to that of the housekeeping cyclophilin A control gene. For a given candidate gene, the black and white histograms represent RNA ratios from cells purified from two independent experiments. Gene name abbreviations are: Granzyme B (Gm B), Fas Ligand (FasL), C-C chemokine receptor 5 (CCR5), Lipopolysaccharide-induced Tumor necrosis factor activation factor (LITAF), Serine protease inhibitor 2A (Spi2A), C—C chemokine ligand 9 (CCL9), Presenilin 2 (PS2), Major histocompatibility complex I-A_(α) ^(b) (MHC II). Brackets connecting paired histograms indicate statistically significant differences in gene expression between CD8 populations (***p<0.001, **p<0.01, *p<0.05).

[0063] FIGS. 14A-B. Modulation of Spi2A expression in bone-marrow chimeras. CD8-deficient C57BL/6 mice were re-constituted with bone-marrow progenitors transduced with recombinant MIGR1 (GFP, Spi2A or Spi2A-A mice). Chimeras with a high level of transduced leucocytes (>40% PBLs GFP⁺) were infected with LCMV. FIG. 14A: FACS purification of GFP⁺CD8⁺ spleen cells 8d after the infection of GFP-mice with LCMV. FIG. 14B: The relative level of Spi2A mRNA from FACS purified CD8 cells. The bar indicates the mean level of Spi2A mRNA from multiple individual mice. Real-time PCR was used to determine the relative level of sense Spi2A mRNA. The mean levels of Spi2A mRNA in CD8 cells from Spi2A and Spi2A-A mice were significantly higher and lower compared to CD8 cells from GFP mice respectively.

[0064]FIG. 15. Kinetics of anti-LCMV CD8 cell expansion and contraction in bone-marrow chimeras. Wild-type C57BL/6 bone-marrow was transduced with control GFP retrovirus and adoptively transferred into lethally irradiated (1200 rads) C57BL/6 CD8-deficient mice (1.5-2.0×10⁶ cells/mouse). After either 8 or 16 weeks, the level of reconstitution was determined by measuring the percentage of CD8 cells in PBLs. After 8 weeks, chimeras were reconstituted to about 50% of the level of age-matched wild-type C57BL/6 control mice and after 16 weeks chimeras were fully reconstituted (100% of control level). Chimeras (8 week or 16 week) and control wild-type C57BL/6 mice were infected with LCMV Armstrong (2×10⁵ pfu/mouse) and the level of anti-LCMV CD8 cells was determined in PBLs staining with a H-2 D^(b)-tetramer cocktail and then FACS. The kinetics of anti-LCMV CD8 cell expansion and contraction in wild-type C57BL/6 mice was the same as has been observed by others (Murali-Krishna et al., 1998; Murali-Krishna et al., 1999). That is to say, a peak level of about 18% LCMV-specific CD8 cells after 8 days, a contraction phase that lasted until about day 30, and a residual level of about 2% LCMV-specific CD8 cells, which was about 11% of the peak level, were observed. Fully reconstituted week 16 bone-marrow chimeras exhibited the same kinetics of anti-LCMV CD8 cell expansion and contraction as wild-type C57B116 mice. Partially reconstituted week 8 bone-marrow chimeras exhibited altered kinetics of anti-LCMV CD8 cell expansion and contraction, with a delayed (day 14) but higher peak level and a prolonged contraction phase. The residual level of 2% LCMV—specific CD8 cells was about 4% of the peak level. Importantly, all week 8 chimeras (GFP, Spi2A, Spi2A-A) that were analyzed in a given infection were generated from the same number of bone-marrow precursors at the same time and so are matched for the degree of CD8 cell reconstitution and therefore show similar kinetics of anti-LCMV CD8 cell expansion and contraction. Week 8 rather than week 16 chimeras were chosen for infection because it allowed for performance of more experiments in a shorter period of time.

[0065] FIGS. 16A-D. Spi2A determines the level of antigen-specific CD8 cells after infection with LCMV. Bone-marrow chimeras (GFP, Spi2A or Spi2A-A) were infected with LCMV and the level of virus specific CD8 cells was determined by staining PBLs with tetramers and anti-CD8α mAbs then FACS. FIG. 16A: GFP-positive cells (transduced with retrovirus) were detected by FACS and the percentage of anti-LCMV CD8 (tetramer⁺CD8⁺) cells of the GFP-positive population was determined by the mean±SEM from 5-6 mice at each time point. FIG. 16B: Residual level of anti-LCMV CD8 cells was determined as the percentage of the level after 98 days of the maximum level after 14 days from FIG. 16A. The residual level of anti-LCMV CD8 cells was significantly higher in Spi2A and lower in Spi2A-A mice compared to GFP controls. All of these data are representative of one of two independent experiments. FIG. 16C: Percentage of tetramer⁺CD8⁺ of total CD8⁺ cells within the GFP-positive population of PBLs from the experiment described in part A. FIG. 16D: Percentage of anti-LCMV CD8 cells of the GFP-negative (not transduced with retrovirus) population from the experiment described in FIG. 16A.

[0066]FIG. 17. Spi2A affects the level of LCMV-specific CD8 cells. Bone-marrow chimeras (GFP, Spi2A or Spi2A-A) were infected with LCMV and the level of virus specific CD8 cells was determined by staining PBLs with tetramers and anti-CD8α mAbs then FACS. GFP-positive cells (transduced with retrovirus) were detected by FACS and the percentage of anti-LCMV CD8 (tetramer⁺CD8⁺) cells of the GFP-positive population was determined by the mean±SEM from 5-6 mice at each time point. A decrease in the level of anti-LCMV CD8 cells at the peak response on day 14 and thereafter was observed in Spi2A-A mice compared to GFP controls. However, Spi2A mice exhibited an elevated level of anti-LCMV CD8 cells during the contraction and memory phases.

[0067]FIG. 18. Spi2A affects the contraction phase of anti-LCMV CD8 cells. The level of anti-LCMV CD8 cells present 56 days after infection was expressed as a percentage of the maximum level on day 14 to determine the residual level (data from FIG. 17). Compared to GFP controls, a significantly (p<0.001) higher residual level in Spi2A mice and a significantly lower level in Spi2A-A mice (p<0.01) were observed. These findings are similar to those in FIG. 16D, but from another independent experiment.

[0068]FIG. 19. The effect of Spi2A on the levels of memory and recall CD8 cells after infection with LCMV. Bone-marrow chimeras (GFP, Spi2A and Spi2A-A mice) were infected with LCMV and ex vivo IFN-γ production assays were performed to detect memory CD8 cells 101 d after primary infection with LCMV (memory). In another experiment, 60d after primary infection with LCMV, mice were re-infected and after 5 d the level of secondary effectors determined (recall). The percentages of IFN-γ⁺ CD8⁺ cells in the GFP-positive (+) and negative (−) populations are indicated. IFN-γ⁺ CD8⁺ cells could not be detected in spleen cells from un-infected C57BL/6 mice.

[0069] FIGS. 20A-F. Spi2A determines the level of anti-LCMV memory and recall effector CD8 cells. Bone-marrow chimeras (GFP, Spi2A and Spi2A-A mice) were infected with LCMV as described in FIG. 19. FIG. 20A: The mean percentage of IFN-γ⁺ CD8⁺ memory cells (bar) was significantly higher in Spi2A mice (n=6) and lower in Spi2A-A mice (n=5) than in GFP control mice (n=6). FIG. 20B: Percentage of IFN-γ⁺ CD8⁺ of CD8⁺ cells within the GFP-positive splenocytes from the experiment described in part A.

[0070]FIG. 20C: The percentage of IFN-γ⁺ CD8⁺ memory cells of GFP-negative splenocytes from FIG. 20A showed no significant differences among the three chimera groups. FIG. 20D: The mean percentage of IFN-γ⁺ CD8⁺ recall effector cells was significantly higher in Spi2A mice (n=4) and lower in Spi2A-A mice (n=4) than in GFP control mice (n=4). These data are representative of one of two independent experiments. FIG. 20E: Percentage of IFN-γ⁺ CD8⁺ of CD8⁺ cells within the GFP-positive splenocytes from the experiment described in FIG. 20C. FIG. 20F: The percentage of IFN-γ⁺ CD8⁺ recall cells of GFP-negative splenocytes from FIG. 20D shows no significant differences among the three chimera groups.

DESCRIPTION OF ILLUSTRATIVE EMBODIMENTS

[0071] The present invention seeks to exploit the inventor's discovery by providing for methods and compositions for simultaneously inhibiting both the caspase pathway and caspase-independent pathway of cell death using Spi2A polypeptides and mimetics of Spi2A polypeptides. These methods and compositions can be used in a wide variety of therapeutic contexts. For example, inhibition of cell death using Spi2A polypeptides or Spi2A polypeptide equivalents can be used in the treatment of diseases associated with cell death, such as septic shock and myocardial infarction. In another example, Spi2A polypeptides or Spi2A polypeptide equivalents can be used to inhibit apoptosis in donor granulocytes that are in preparation for delivery to a recipient.

[0072] A. Spi2A

[0073] 1. Spi2A Polypeptides and Fusion Proteins

[0074] The present invention pertains to use of Spi2A polypeptides or Spi2A polypeptide equivalents in various contexts. For example, various embodiments of the present invention pertain to methods for modulating cell death comprising contacting a cell with an Spi2A polypeptide or a Spi2A polypeptide equivalent. Other embodiments pertain to methods of treating a subject which include administering to the subject a composition that further includes an Spi2A polypeptide or a Spi2A polypeptide equivalent. Further embodiments of the present invention relate to methods of preparing donor granulocytes for delivery to a subject, involving contacting the donor granulocytes with a composition that includes an Spi2A polypeptide or a Spi2A polypeptide equivalent.

[0075] Throughout this application, the term “Spi2A polypeptide” is intended to refer to a murine Spi2A polypeptide. The full-length amino acid sequence of murine Spi2A is provided herein, and is designated SEQ ID NO:2.

[0076] The Spi2A polypeptide is a consecutive amino acid segment of SEQ ID NO:2 that is of any length, including the full length sequence of SEQ ID NO:2. For example, the Spi2A polypeptide can be a polypeptide that includes 4, 5, 10, 15, 20, 25, 30, 50, 100, 200, 300, 400, 500, 1000 or any number of consecutive amino acids of SEQ ID NO:2. One of ordinary skill in the art would understand how to generate a Spi2A polypeptide in view of the disclosure of SEQ ID NO:2 using any of a number of experimental methods well-known to those of skill in the art.

[0077] It is well understood by the skilled artisan that, inherent in the definition of a “Spi2A polypeptide equivalent,” is the concept that there is a limit to the number of changes that may be made within a defined portion of the molecule and still result in a molecule with an acceptable level of equivalent biological activity, e.g., ability of Spi2A to modulate cell death. “Spi2A polypeptide equivalent” is thus defined herein as any Spi2A polypeptide in which some, or most, of the amino acids may be substituted so long as the polypeptide retains substantially similar activity in the context of the uses set forth herein.

[0078] An amino acid sequence of any length is contemplated within the definition of Spi2A polypeptide equivalent, so long as the polypeptide retains an acceptable level of equivalent biological activity. For example, a Spi2A polypeptide equivalent that is anticipated to have an acceptable level of equivalent biological activity of Spi2A includes polypeptides having the amino acid sequence MAGVGCCA (SEQ ID NO:10) or polypeptides having the amino acid sequence FVVAECCM (SEQ ID NO:11). These amino acid sequences are part of Spi2A and PI9, respectively. The Spi2A polypeptide equivalents may include all or part of these amino acid sequences. For example, the Spi2A polypeptide equivalent may include 8, 7, 6, 5, or 4 consecutive amino acids from either of these amino acid sequences. The orientation of these consecutive amino acids in the Spi2A polypeptide equivalent may be forward or reverse. Further, Spi2A polypeptide equivalents includes polypeptides containing these amino acid sequences that have additional amino acids at either the C-terminal or N-terminal end. For example, the Spi2A polypeptide equivalent may include a total of greater than 1000, 500-1000, 400-499, 300-399, 200-299, 100-199, 80-99, 60-79, 50-59, 40-49, 30-39, 20-29, 10-19, 9, 8, 7, 6, 5, or 4 amino acid residues, as long as there remains an acceptable level of equivalent biological activity of Spi2A.

[0079] Of course, a plurality of distinct proteins/polypeptides/peptides with different substitutions may easily be made and used in accordance with the invention. Additionally, in the context of the invention, an Spi2A polypeptide equivalent can be a Spi2A homologue polypeptide from any species or organism, including, but not limited to, a human polypeptide. One of ordinary skill in the art will understand that many Spi2A polypeptide equivalents would likely exist and can be identified using commonly available techniques. Particular examples of Spi2A equivalents in human include serpin B1 (M/NEI; GenBank accession number AAC31394; herein SEQ ID NO:3), serpin B2 (PAI-2; GenBank accession number NP 002566; herein SEQ ID NO:4), serpin B3 (SCCA-1; GenBank accession number AAA86317; herein SEQ ID NO:5), serpin B4 (SCAA 2; GenBank accession number XP 209106; herein SEQ ID NO:6), serpin B6 (PI6; GenBank accession number NP 004559; herein SEQ ID NO:7), serpin B8 (PI8; GenBank accession number NP 002631; herein SEQ ID NO:8), and serpin B9 (PI9; GenBank accession number AAH02538; herein SEQ ID NO:9). Of course, any Spi2A homologue polypeptide may be substituted in some, even most, amino acids and still be an “Spi2A polypeptide equivalent,” so long as the polypeptide retains substantially similar activity in the context of the uses set forth herein.

[0080] These human amino acid sequences have an amino acid identity of about 40% with murine Spi2A (SEQ ID NO:2), and a chemical identity (presence of identical or chemically similar amino acids) of about 60-70%, indicating that they are biologically equivalent polypeptides to Spi2A. Therefore, these human polypeptides are Spi2A equivalent polypeptides because only certain amino acids are substituted when compared to Spi2A.

[0081] The present invention may utilize Spi2A polypeptides or Spi2A polypeptide equivalents purified from a natural source or from recombinantly-produced material. Those of ordinary skill in the art would know how to produce these polypeptides from recombinantly-produced material. This material may use the 20 common amino acids in naturally synthesized proteins, or one or more modified or unusual amino acids. Generally, “purified” will refer to an Spi2A composition that has been subjected to fractionation to remove various other proteins, polypeptides, or peptides, and which composition substantially retains its activity. Purification may be substantial, in which the Spi2A polypeptide or equivalent is the predominant species, or to homogeneity, which purification level would permit accurate degradative sequencing.

[0082] Amino acid sequence mutants of Spi2A also are encompassed by the present invention, and are included within the definition of “Spi2A polypeptide equivalent.” Amino acid sequence mutants of the polypeptide can be substitutional mutants or insertional mutants. Insertional mutants typically involve the addition of material at a non-terminal point in the peptide. This may include the insertion of a few residues; an immunoreactive epitope; or simply a single residue. The added material may be modified, such as by methylation, acetylation, and the like. Alternatively, additional residues may be added to the N-terminal or C-terminal ends of the peptide.

[0083] Amino acid substitutions are generally based on the relative similarity of the amino acid side-chain substituents, or example, their hydrophobicity, hydrophilicity, charge, size, and the like. An analysis of the size, shape and type of the amino acid side-chain substituents reveals that arginine, lysine and histidine are all positively charged residues; that alanine, glycine and serine are all a similar size; and that phenylalanine, tryptophan and tyrosine all have a generally similar shape. Therefore, based upon these considerations, arginine, lysine and histidine; alanine, glycine and serine; and phenylalanine, tryptophan and tyrosine; are defined herein as biologically functional equivalents.

[0084] Amino acid substitutions are generally based on the relative similarity of the amino acid side-chain substituents, or example, their hydrophobicity, hydrophilicity, charge, size, and the like. An analysis of the size, shape and type of the amino acid side-chain substituents reveals that arginine, lysine and histidine are all positively charged residues; that alanine, glycine and serine are all a similar size; and that phenylalanine, tryptophan and tyrosine all have a generally similar shape. Therefore, based upon these considerations, arginine, lysine and histidine; alanine, glycine and serine; and phenylalanine, tryptophan and tyrosine; are defined herein as biologically functional equivalents.

[0085] In making changes, the hydropathic index of amino acids may be considered. Each amino acid has been assigned a hydropathic index on the basis of their hydrophobicity and charge characteristics, these are: isoleucine (+4.5); valine (+4.2); leucine (+3.8); phenylalanine (+2.8); cysteine/cystine (+2.5); methionine (+1.9); alanine (+1.8); glycine (−0.4); threonine (−0.7); serine (−0.8); tryptophan (−0.9); tyrosine (−1.3); proline (−1.6); histidine (−3.2); glutamate (−3.5); glutamine (−3.5); aspartate (−3.5); asparagine (−3.5); lysine (−3.9); and arginine (−4.5).

[0086] The importance of the hydropathic amino acid index in conferring interactive biological function on a protein is generally understood in the art (Kyte and Doolittle, 1982, incorporated by reference herein). It is known that certain amino acids may be substituted for other amino acids having a similar hydropathic index or score and still retain a similar biological activity. In making changes based upon the hydropathic index, the substitution of amino acids whose hydropathic indices are within +2 is preferred, those which are within +1 are particularly preferred, and those within +0.5 are even more particularly preferred.

[0087] It is understood that an amino acid can be substituted for another having a similar hydrophilicity value and still obtain a biologically equivalent protein. As detailed in U.S. Pat. No. 4,554,101, the following hydrophilicity values have been assigned to amino acid residues: arginine (+3.0); lysine (+3.0); aspartate (+3.0+1); glutamate (+3.0+1); serine (+0.3); asparagine (+0.2); glutamine (+0.2); glycine (0); threonine (−0.4); proline (−0.5+1); alanine (−0.5); histidine (−0.5); cysteine (−1.0); methionine (−1.3); valine (−1.5); leucine (−1.8); isoleucine (−1.8); tyrosine (−2.3); phenylalanine (−2.5); tryptophan (−3.4).

[0088] In making changes based upon similar hydrophilicity values, the substitution of amino acids whose hydrophilicity values are within +2 is preferred, those which are within +1 are particularly preferred, and those within +0.5 are even more particularly preferred.

[0089] Certain embodiments of the present invention utilize fusion proteins that are preferentially translocated through biological membranes. In particular, the Spi2A polypeptide, functional Spi2A equivalent, or mutant Spi2A may be fused to a particular protein, polypeptide, or peptide sequence that promotes facilitated intracellular delivery of the fusion protein into the targeted cell. Although any fusion protein with the property of facilitated intracellular delivery is contemplated by the present invention, specific examples include fusion proteins utlizing the HIV TAT sequence (Nagahara et al., 1998), the third helix of the Antennapedia homeodomain (Antp) (Derossi et al., 1994), and the HSV-1 structural protein VP22 (Elliott and O'Hare, 1997).

[0090] 2. Spi2A-Encoding Polynucleotides

[0091] Various aspects of the present invention require polynucleotides encoding an Spi2A polypeptide or an Spi2A polypeptide equivalent. For example, various embodiments include methods for modulating cell death that involve contacting the cell with an expression cassette that includes a promoter that is active in the cell, operably linked to a polynucleotide encoding either an Spi2A polypeptide or an Spi2A polypeptide equivalent. In other embodiments, the invention pertains to methods for treating a subject that include administering to the subject a composition that includes an expression cassette operably inked to a polynucleotide encoding either an Spi2A polypeptide or an Spi2A polypeptide equivalent. In still other embodiments, the invention includes methods of preparing donor granulocytes for delivery to a subject that involve contacting the donor granulocytes with an expression cassette that includes a promoter that is active in the granulocytes, operably linked to a polynucleotide encoding either an Spi2A polypeptide or an Spi2A polypeptide equivalent.

[0092] The polynucleotide encoding the full length amino acid sequence of murine Spi2A is provided herein as SEQ ID NO:1. The polynucleotides according to the present invention may encode an entire Spi2A sequence (for example, the amino acid sequence of SEQ ID NO:2), a functional Spi2A protein domain, an Spi2A polypeptide, or an Spi2A polypeptide equivalent. The polynucleotides may be derived from genomic DNA, i.e., cloned directly from the genome of a particular organism.

[0093] In other embodiments, however, the polynucleotides may be complementary DNA (cDNA). cDNA is DNA prepared using messenger RNA (mRNA) as a template. Thus, a cDNA does not contain any interrupted coding sequences and usually contains almost exclusively the coding region(s) for the corresponding protein. In other embodiments, the polynucleotide may be produced synthetically.

[0094] It may be advantageous to combine portions of the genomic DNA with cDNA or synthetic sequences to generate specific constructs. For example, where an intron is desired in the ultimate construct, a genomic clone will need to be used. Introns may be derived from other genes in addition to Spi2A. The cDNA or a synthesized polynucleotide may provide more convenient restriction sites for the remaining portion of the construct and, therefore, would be used for the rest of the sequence.

[0095] The present invention is not limited to SEQ ID NO:1 (i.e., the polynucleotide encoding murine Spi2A), but includes polynucleotides encoding any Spi2A polypeptide equivalent (discussed above). These polynucleotides encoding Spi2A polypeptide equivalents may be naturally-occuring homologous polynucleotide sequences from other organisms. For example, polynucleotides encoding Spi2A polypeptide equivalents include those polynucleotides encoding the human amino acid functional equivalent sequences previously described (i.e., SEQ ID NO. 3-SEQ ID NO. 9). These sequences are provided by way of example, and are not meant to be a summary of all available Spi2A polypeptide equivalents. A person of ordinary skill in the art would understand that commonly available experimental techniques can be used to identify or synthesize polynucleotides encoding other Spi2A polypeptide equivalents. The present invention also encompasses chemically synthesized mutants of these sequences.

[0096] Another kind of sequence variant results from codon variation. Because there are several codons for most of the 20 normal amino acids, many different DNAs can encode the Spi2A. Reference to the following table will allow such variants to be identified. TABLE 1 Amino Acids Codons Alanine Ala A GCA GCC GCG GCU Cysteine Cys C UGC UGU Aspartic acid Asp D GAC GAU Glutamic acid Glu E GAA GAG Phenylalanine Phe F UUC UUU Glycine Gly G GGA GGC GGG GGU Histidine His H CAC CAU Isoleucine Ile I AUA AUC AUU Lysine Lys K AAA AAG Leucine Leu L UUA UUG CUA CUC CUG CUU Methionine Met M AUG Asparagine Asn N AAC AAU Proline Pro P CCA CCC CCG CCU Glutamine Gln Q CAA CAG Arginine Arg R AGA AGG CGA CGC CGG CGU Serine Ser S AGC AGU UCA UCC UCG UCU Threonine Thr T ACA ACC ACG ACU Valine Val V GUA GUC GUG GUU Tryptophan Trp W UGG Tyrosine Tyr Y UAC UAU

[0097] Allowing for the degeneracy of the genetic code, sequences that have between about 50% and about 75%, or between about 76% and about 99% of nucleotides that are identical to the nucleotides disclosed herein will be preferred. Sequences that are within the scope of “a polynucleotide encoding a Spi2A polypeptide” or “functional equivalent Spi2A polypeptide” are those that are capable of base-pairing with a polynucleotide segment set forth above under intracellular conditions.

[0098] As stated above, the Spi2A encoding sequences may be full length genomic or cDNA copies, or large fragments thereof. The present invention also may employ shorter oligonucleotides of Spi2A. Sequences of 12 bases long should occur only once in the human genome and, therefore, suffice to specify a unique target sequence. Although shorter oligomers are easier to make and increase in vivo accessibility, numerous other factors are involved in determining the specificity of base-pairing. Both binding affinity and sequence specificity of an oligonucleotide to its complementary target increases with increasing length. It is contemplated that oligonucleotides of 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20 base pairs will be used, for example, in the preparation of Spi2A mutants and in PCR reactions.

[0099] In certain embodiments, one may wish to employ constructs which include other elements, for example, those which include C-5 propyne pyrimidines. Oligonucleotides which contain C-5 propyne analogues of uridine and cytidine have been shown to bind RNA with high affinity (Wagner et al., 1993).

[0100] B. Targeted Diseases and Conditions

[0101] The present invention contemplates methods of treating a subject that includes administering to the subject a composition that includes an Spi2A polypeptide or an Spi2A polypeptide equivalent in a pharmaceutical preparation suitable for delivery to the subject. The subject can be a patient with a disease wherein cell death plays a prominent role in the pathophysiology. The cell death can be by any mechanism. For example, cell death can be the result of apoptosis, necrosis, lysosomal instability, ROS, and abnormal cysteine protease activity.

[0102] In a preferred embodiment the Spi2A polypeptides and Spi2A polypeptide equivalents are used to prevent cell death due to apoptosis or necrosis. Necrosis and apoptosis are morphologically distinct forms of cell death that underlie the pathogenesis of all disease. Apoptosis occurs through the activation of an intrinsic cell suicide program to remove seriously damaged, potentially dangerous, infected and unwanted cells. However, an inapproproately activated program can lead to a number of pathological conditions, such as cancer, neurodegenerative disorders, AIDS, autoimimune disorders and viral infections (Turk et al., 2002; Steller, 1995). Necrosis is caused by any noxious stimuli that results in irreversible distruption of cellular homeostatic mechanisms (Kerr et al., 1972). The morphological changes that are associated with necrosis result from the progressive degradative action of enzymes on the lethally injured cells. In terms of pathology, the critical difference between necrosis and apoptosis is that the former does not require the active participation of the cell in it's own demise. In many diseases, tissue injury is caused by both apoptosis and necrosis. Thus, Spi2A polypeptides and Spi2A polypeptide equivalents are used to prevent cell death in a wide range of diseases. In addition, Spi2A and Spi2A equivalents can be used to prevent apoptosis and necrosis of ex vivo normal cells. For instance, these agents can be used to prevent cell death of donor granulocytes during the process of preparation of the granulocytes for transfusion and storage.

[0103] Any disease or condition wherein there is an excessive rate of cell death is contemplated. Examples include myocardial infarction (MI), septic shock and liver disease.

[0104] 1. Myocardial Infarction

[0105] Acute MI is caused by coagultive necrosis of myocardiocytes following severe ischemia. Patients with acute MI will be treated by intravenous injection or direct cardiac injection with TAT-Spi2A polypeptides or TAT-Spi2A polypeptide equivalents at the same time they receive thrombolytic therapy to alleviate myocardial ischemia (White and Van der Werf, 1998). This will be optimally within 24 hours after the patient presents so as to protect from coagultaive necrosis and reduce infarct size. The treatment of chronic MI by TAT-Spi2A polypeptides or TAT-Spi2A polypeptide equivalents will follow the same protocol. The response to the agent will be monitored by measuring the reduction in ischemic necrosis of the myocardium. Thus, the serum levels will be mointored by a lowering of myocyte proteins: creatine kinase, troponin I and troponin T (Schoen, 1999). A reduction in infarct size will be verified by at least one of the following echocardiology, radioisotype studies, nuclear magnetic resonance and perfusion scintography.

[0106] Standard treatmant for MI is to alleviate ischemic coagulative necrosis by restoring blood flow to the myocardium (reperfusion). This causes additional injury through the production of ROS that cause necrosis (Kloner et al., 1998). Administration of TAT-Spi2A polypeptides or TAT-Spi2A polypeptide equivalents as described above may also be used to treat reperfusion injury of myocardial tissue.

[0107] 2. Septic Shock

[0108] Sepsis is caused by the response of inflammatory leukocytes, notably macrophages, to systemic infection with bacteria or fungi. Systemic production of the pro-inflamatory cytokines TNF-α, IL-1 and IL-6 by macrophages give rise to sepsis and septic shock. A critical event is the injury of blood vessels caused by the necrotic and apoptotic death of endothelial cells by TNF-α. This leads to excessive coagulation in blood vessels and a restriction of blood flow to vital organs. If untreated severe sepsis causes cardiovascular collapse and systemic hypoperfusion (septic shock) which leads to the shut down of vital oragns and death of the patient. Certain embodiments of the invention pertain to systemic application of TAT-Spi2A polypeptides and TAT-Spi2A polypeptide in the treatment of patients with severe sepsis. For example, the criteria for selecing patients and protocol of administration may be as described for use of the sepsis drug, xigris (Sollet and Garber, 2002; Laterre and Heiselman, 2002). It is anticipated that this would prevent coagulation of blood in vessels servicing vital organs by protecting endothelial cells from death would prevent ischemic necrosis in organs with impaired blood flow. Response to the agent can be monitored by a resoration in normal blood pressure and diminished patient morbidity.

[0109] 3. Liver Disease

[0110] Hepatic failure and cirrhosis are caused by massive hepatocyte necrosis and apoptosis. There are several causes for hepatocyte necrosis which include fulminant viral hepatitis (with hepatits A, B, C, D, E and G virus), drugs, chemicals and alcohol (Crawford, 1999). Embodiments of the invention pertain to treatment of hepatic failure and cirrohsis by the administration of Spi2A polypeptides and Spi2A polypeptide equivalents by intravenous injection. The goal of treatment is to reduce hepatocyte necrosis and apoptosis and prevent hepatic failure and cirrhosis. The effect of the agent will be measured by the lowering of serum levels of heaptocyte proteins such as transaminases and a reduction in patient jaundice.

[0111] 4. Diseases Associated with Abnormal Lysosomal Cysteine Protease Activity

[0112] In view of the inventor's discovery that Spi2A polypeptides and Spi2A polypeptide equivalents can be used to inhibit the human cysteine cathespins B, L, V, K and H, the invention can be applied in the treatment of any disease or condition associated with abnormal cysteine protease activity. As previously discussed in this specification, a number of diseases are associated with lysosomal cysteine proteases. Examples include cathepsin K in oestoclasts causing oestoporosis and cathespins K, L and S in inflammatory cells causing emphysema (Turk et al., 2002). Treatment of these conditions would be acheieved by the intravenous application of Spi2A polypeptides and Spi2A polypeptide equivalents. Therefore, treatment of any disease associated with lysosomal cysteine proteases is contemplated by the present invention.

[0113] 5. Method of Preparing Donor Granulocytes

[0114] A method of preparing donor granultocytes for delivery to a subject in need of granulocyte donation is also contemplated by the present invention. Current methods of preparing donor granulocytes for transfusion are known to be associated with granulocytes death due to apoptosis (Brach et al. 1992). The present invention is directed at alleviating the apoptotic cell death associated with the preparation and storage of donor granulocytes for transfusion (Leavy et al., 2000). It is anticipated that preservation during storage after 48 hours or more will improve granulocyte function and the clinical efficacy of granulocyte therapy for infection with bacteria and fungi. In particular, the method involves obtaining the donor granulocytes, isolating the donor granulocytes, and then contacting the donor granulocytes with a composition that includes a Spi2A polypeptide or Spi2A equivalent prior to administering the donor granulocytes to a subject in need of the donor granulocytes. The subject in need can be a subject with any disease or condition known to be treated with donor granulocytes. Examples of such diseases and conditions include neutropenia (due to chemotherapy, radiotherapy, myelosuppressive drugs leukemia, idiopathic neutropenia or aplastic anemia (Hubel et al., 2001), neonatal sepsis, and diseases associated with a qualitative abnormality of neutrophils such as chronic granulomatous disease. In particular the invention will be of particular usefulness in the treatment of neutropenia due to dose-intensive chemotherapy, which is amenable to transfusion therapy but not other therapies (Liles et al., 1995).

[0115] C. Expression Cassettes

[0116] 1. Overview

[0117] Certain embodiments of the invention pertain to methods utilizing compositions that include an expression cassette. In particular, the methods for modulating cell death in a cell may involve contacting a cell with an Spi2A polypeptide or an Spi2A polypeptide equivalent that further includes an expression cassette. The methods of treating a subject may involve administering to the subject a composition of an Spi2A polypeptide or polypeptide equivalent that includes an expression cassette. In addition, the methods of preparing donor granulocytes for donation to a subject in need may include contacting the donor granulocytes with a composition of an Spi2A polypeptide and an Spi2A polypeptide equivalent that includes an expression cassette. One of skill in the art would understand the techniques relating to use of expression cassettes to deliver polynucleotide sequences to cells or subjects. Particular aspects of these techniques are summarized in this specification. This brief summary is in no way designed to be an exhaustive overview of all available experimental techniques related to expression cassettes since one of skill in the art would already be familiar with these techniques.

[0118] Throughout this application, the term “expression cassette” is meant to include any type of genetic construct containing a nucleic acid coding for a gene product in which part or all of the nucleic acid encoding sequence is capable of being transcribed. The transcript may be translated into a protein or polypeptide, but it need not be. Thus, in certain embodiments, expression includes both transcription of a gene and translation of a mRNA into a polypeptide.

[0119] In order for the expression cassette to effect expression of a polypeptide, the polynucleotide encoding the polynucleotide will be under the transcriptional control of a promoter. A “promoter” is a control sequence that is a region of a nucleic acid sequence at which initiation and rate of transcription are controlled. It may contain genetic elements at which regulatory proteins and molecules may bind such as RNA polymerase and other transcription factors. The phrase “operatively linked” mean that a promoter is in a correct functional location and/or orientation in relation to a nucleic acid sequence to control transcriptional initiation and/or expression of that sequence. A promoter may or may not be used in conjunction with an “enhancer,” which refers to a cis-acting regulatory sequence involved in the transcriptional activation of a nucleic acid sequence. One of skill in the art would understand how to use a promoter or enhancer to promote expression of an Spi2A polypeptide or Spi2A polypeptide equivalent.

[0120] In certain embodiments of the invention, the delivery of an expression cassette in a cell may be identified in vitro or in vivo by including a marker in the expression vector. The marker would result in an identifiable change to the transfected cell permitting easy identification of expression. The selectable marker employed is not believed to be important, so long as it is capable of being expressed along with the polynucleotide of the expression cassette. Examples of selectable markers are well known to one of skill in the art.

[0121] A specific initiation signal also may be required for efficient translation of coding sequences. These signals include the ATG initiation codon or adjacent sequences. Exogenous translational control signals, including the ATG initiation codon, may need to be provided. One of ordinary skill in the art would readily be capable of determining this and providing the necessary signals.

[0122] In certain embodiments of the invention, the use of internal ribosome entry sites (IRES) elements are used to create multigene, or polycistronic, messages. IRES elements are able to bypass the ribosome scanning model of 5′ methylated Cap dependent translation and begin translation at internal sites (Pelletier and Sonenberg, 1988). One of skill in the art would be familiar with use of IRES in expression cassettes.

[0123] Expression cassettes can include a multiple cloning site (MCS), which is a nucleic acid region that contains multiple restriction enzyme sites, any of which can be used in conjunction with standard recombinant technology to digest the vector. See Carbonelli et. al. (1999); Levenson et al. (1998); Cocea (1997). “Restriction enzyme digestion” refers to catalytic cleavage of a nucleic acid molecule with an enzyme that functions only at specific locations in a nucleic acid molecule. Techniques involving restriction enzymes and ligation reactions are well known to those of skill in the art of recombinant technology.

[0124] In expression, one will typically include a polyadenylation signal to effect proper polyadenylation of the transcript. The nature of the polyadenylation signal is not believed to be crucial to the successful practice of the invention, and/or any such sequence may be employed. One of skill in the art would understand how to use these signals to effect proper polyadenylation of the transcript.

[0125] In certain embodiments of the present invention, the expression cassette comprises a virus or engineered construct derived from a viral genome. The ability of certain viruses to enter cells via receptor-mediated endocytosis and, in some cases, integrate into the host cell chromosomes, have made them attractive candidates for gene transfer in to mammalian cells. However, because it has been demonstrated that direct uptake of naked DNA, as well as receptor-mediated uptake of DNA complexes, is possible, expression vectors need not be viral but, instead, may be any plasmid, cosmid or phage construct that is capable of supporting expression of encoded genes in mammalian cells, such as pUC or Bluescript™ plasmid series. One of ordinary skill in the art would be familiar with use of viruses as tools to promote expression of the polypeptide.

[0126] In certain embodiments of the invention, a treated cell may be identified in vitro or in vivo by including a marker in the expression vector. Such markers would confer an identifiable change to the cell permitting easy identification of cells containing the expression vector. Generally, a selectable marker is one that confers a property that allows for selection. A positive selectable marker is one in which the presence of the marker allows for its selection, while a negative selectable marker is one in which its presence prevents its selection. An example of a positive selectable marker is a drug resistance marker.

[0127] Usually the inclusion of a drug selection marker aids in the cloning and identification of transformants, for example, genes that confer resistance to neomycin, puromycin, hygromycin, DHFR, GPT, zeocin and histidinol are useful selectable markers. In addition to markers conferring a phenotype that allows for the discrimination of transformants based on the implementation of conditions, other types of markers including screenable markers such as GFP, whose basis is colorimetric analysis, are also contemplated. Alternatively, screenable enzymes such as herpes simplex virus thymidine kinase (tk) or chloramphenicol acetyltransferase (CAT) may be utilized. One of skill in the art would also know how to employ immunologic markers, possibly in conjunction with FACS analysis. The marker used is not believed to be important, so long as it is capable of being expressed simultaneously with the nucleic acid encoding a gene product. Further examples of selectable and screenable markers are well known to one of skill in the art.

[0128] D. Gene Transfer

[0129] 1. Viral Vectors

[0130] In certain embodiments, the methods and compositions of the invention utilize expression cassettes which includes the Spi2A polypeptide or Spi2A polypeptide equivalent in an expression cassette is carried in a vector. One of ordinary skill in the art would understand use of vectors since these experiemental methods are well-known in the art. In particular, techniques using “viral vectors” are well-known in the art. A viral vector is meant to include those constructs containing viral sequences sufficient to (a) support packaging of the expression cassette and (b) to ultimately express a recombinant gene construct that has been cloned therein.

[0131] One method for delivery of the recombinant DNA involves the use of an adenovirus expression vector. Although adenovirus vectors are known to have a low capacity for integration into genomic DNA, this feature is counterbalanced by the high efficiency of gene transfer afforded by these vectors.

[0132] Adenoviruses are currently the most commonly used vector for gene transfer in clinical settings. Among the advantages of these viruses is that they are efficient at gene delivery to both nondividing an dividing cells and can be produced in large quantities. The vector comprises a genetically engineered form of adenovirus. Knowledge of the genetic organization or adenovirus, a 36 kb, linear, double-stranded DNA virus, allows substitution of large pieces of adenoviral DNA with foreign sequences up to 7 kb (Grunhaus et al., 1992). In contrast to retrovirus, the adenoviral infection of host cells does not result in chromosomal integration because adenoviral DNA can replicate in an episomal manner without potential genotoxicity. Also, adenoviruses are structurally stable, and no genome rearrangement has been detected after extensive amplification.

[0133] Adenovirus is particularly suitable for use as a gene transfer vector because of its mid-sized genome, ease of manipulation, high titer, wide target-cell range and high infectivity. A person of ordinary skill in the art would be familiar with experimental methods using adenoviral vectors.

[0134] The adenovirus vector may be replication defective, or at least conditionally defective, and the nature of the adenovirus vector is not believed to be crucial to the successful practice of the invention. The adenovirus may be of any of the 42 different known serotypes or subgroups A-F. Adenovirus type 5 of subgroup C is the preferred starting material in order to obtain the conditional replication-defective adenovirus vector for use in the present invention. This is because Adenovirus type 5 is a human adenovirus about which a great deal of biochemical and genetic information is known, and it has historically been used for most constructions employing adenovirus as a vector.

[0135] Adenovirus growth and manipulation is known to those of skill in the art, and exhibits broad host range in vitro and in vivo. This group of viruses can be obtained in high titers, e.g., 109-1011 plaque-forming units per ml, and they are highly infective. The life cycle of adenovirus does not require integration into the host cell genome. The foreign genes delivered by adenovirus vectors are episomal and, therefore, have low genotoxicity to host cells. No side effects have been reported in studies of vaccination with wild-type adenovirus (Couch et al., 1963; Top et al., 1971), demonstrating their safety and therapeutic potential as in vivo gene transfer vectors.

[0136] The retroviruses are a group of single-stranded RNA viruses characterized by an ability to convert their RNA to double-stranded DNA in infected cells by a process of reverse-transcription (Coffin, 1990). The resulting DNA then stably integrates into cellular chromosomes as a provirus and directs synthesis of viral proteins. The integration results in the retention of the viral gene sequences in the recipient cell and its descendants. The retroviral genome contains three genes, gag, pol, and env that code for capsid proteins, polymerase enzyme, and envelope components, respectively. A sequence found upstream from the gag gene contains a signal for packaging of the genome into virions. Two long terminal repeat (LTR) sequences are present at the 5′ and 3′ ends of the viral genome. These contain strong promoter and enhancer sequences and are also required for integration in the host cell genome (Coffin, 1990).

[0137] In order to construct a retroviral vector, a nucleic acid encoding a gene of interest is inserted into the viral genome in the place of certain viral sequences to produce a virus that is replication-defective. A person of ordinary skill in the art would be familiar with well-known techniques that are available to construct a retroviral vector.

[0138] Adeno-associated virus (AAV) is an attractive vector system for use in the present invention as it has a high frequency of integration and it can infect nondividing cells, thus making it useful for delivery of genes into mammalian cells in tissue culture (Muzyczka, 1992). AAV has a broad host range for infectivity (Tratschin, et al., 1984; Laughlin, et al., 1986; Lebkowski, et al., 1988; McLaughlin, et al., 1988), which means it is applicable for use with the present invention. Details concerning the generation and use of rAAV vectors are described in U.S. Pat. No. 5,139,941 and U.S. Pat. No. 4,797,368, each incorporated herein by reference.

[0139] AAV is a dependent parvovirus in that it requires coinfection with another virus (either adenovirus or a member of the herpes virus family) to undergo a productive infection in cultured cells (Muzyczka, 1992). In the absence of coinfection with helper virus, the wild-type AAV genome integrates through its ends into human chromosome 19 where it resides in a latent state as a provirus (Kotin et al., 1990; Samulski et al., 1991). rAAV, however, is not restricted to chromosome 19 for integration unless the AAV Rep protein is also expressed (Shelling and Smith, 1994). When a cell carrying an AAV provirus is superinfected with a helper virus, the AAV genome is “rescued” from the chromosome or from a recombinant plasmid, and a normal productive infection is established (Samulski et al., 1989; McLaughlin et al., 1988; Kotin et al., 1990; Muzyczka, 1992).

[0140] Typically, recombinant AAV (rAAV) virus is made by cotransfecting a plasmid containing the gene of interest flanked by the two AAV terminal repeats (McLaughlin et al., 1988; Samulski et al., 1989; each incorporated herein by reference) and an expression plasmid containing the wild-type AAV coding sequences without the terminal repeats, for example pIM45 (McCarty et al., 1991; incorporated herein by reference). A person of ordinary skill in the art would be familiar with techniques available to generate vectors using AAV virus.

[0141] Herpes simplex virus (HSV) has generated considerable interest in treating nervous system disorders due to its tropism for neuronal cells, but this vector also can be exploited for other tissues given its wide host range. Another factor that makes HSV an attractive vector is the size and organization of the genome. Because HSV is large, incorporation of multiple genes or expression cassettes is less problematic than in other smaller viral systems. In addition, the availability of different viral control sequences with varying performance (temporal, strength, etc.) makes it possible to control expression to a greater extent than in other systems. It also is an advantage that the virus has relatively few spliced messages, further easing genetic manipulations.

[0142] HSV also is relatively easy to manipulate and can be grown to high titers. Thus, delivery is less of a problem, both in terms of volumes needed to attain sufficient MOI and in a lessened need for repeat dosings. For a review of HSV as a gene therapy vector, see Glorioso et al. (1995). A person of ordinary skill in the art would be familiar with well-known techniques for use of HSV as vectors.

[0143] Vaccinia virus vectors have been used extensively because of the ease of their construction, relatively high levels of expression obtained, wide host range and large capacity for carrying DNA. Vaccinia contains a linear, double-stranded DNA genome of about 186 kb that exhibits a marked “A-T” preference. Inverted terminal repeats of about 10.5 kb flank the genome. The majority of essential genes appear to map within the central region, which is most highly conserved among poxviruses. Estimated open reading frames in vaccinia virus number from 150 to 200. Although both strands are coding, extensive overlap of reading frames is not common.

[0144] Other viral vectors may be employed as constructs in the present invention. For example, vectors derived from viruses such as poxvirus may be employed. A molecularly cloned strain of Venezuelan equine encephalitis (VEE) virus has been genetically refined as a replication competent vaccine vector for the expression of heterologous viral proteins (Davis et al., 1996). Studies have demonstrated that VEE infection stimulates potent CTL responses and has been sugested that VEE may be an extremely useful vector for immunizations (Caley et al., 1997). It is contemplated in the present invention, that VEE virus may be useful in targeting dendritic cells.

[0145] A polynucleotide may be housed within a viral vector that has been engineered to express a specific binding ligand. The virus particle will thus bind specifically to the cognate receptors of the target cell and deliver the contents to the cell. A novel approach designed to allow specific targeting of retrovirus vectors was developed based on the chemical modification of a retrovirus by the chemical addition of lactose residues to the viral envelope. This modification can permit the specific infection of hepatocytes via sialoglycoprotein receptors.

[0146] Another approach to targeting of recombinant retroviruses was designed in which biotinylated antibodies against a retroviral envelope protein and against a specific cell receptor were used. The antibodies were coupled via the biotin components by using streptavidin (Roux et al., 1989). Using antibodies against major histocompatibility complex class I and class II antigens, they demonstrated the infection of a variety of human cells that bore those surface antigens with an ecotropic virus in vitro (Roux et al., 1989).

[0147] 2. Nonviral Vectors

[0148] Several non-viral methods for the transfer of expression vectors into cells also are contemplated by the present invention. These include calcium phosphate precipitation (Graham and Van Der Eb, 1973; Chen and Okayama, 1987; Rippe et al., 1990) DEAE-dextran (Gopal, 1985), electroporation (Tur-Kaspa et al., 1986; Potter et al., 1984), direct microinjection (Harland and Weintraub, 1985), DNA-loaded liposomes (Nicolau and Sene, 1982; Fraley et al., 1979) and liofectamine-DNA complexe, cell sonication (Fechheimer et al., 1987), gene bombardment using high velocity microprojectiles (Yang et al., 1990), polycations (Bousssif et al., 1995) and receptor-mediated transfection (Wu and Wu, 1987; Wu and Wu, 1988). Some of these techniques may be successfully adapted for in vivo or ex vivo use. A person of ordinary skill in the art would be familiar with the techniques pertaining to use of nonviral vectors, and would understand that other types of nonviral vectors than those disclosed herein are contemplated by the present invention.

[0149] In a further embodiment of the invention, the expression cassette may be entrapped in a liposome or lipid formulation. Liposomes are vesicular structures characterized by a phospholipid bilayer membrane and an inner aqueous medium. Multilamellar liposomes have multiple lipid layers separated by aqueous medium. They form spontaneously when phospholipids are suspended in an excess of aqueous solution. The lipid components undergo self-rearrangement before the formation of closed structures and entrap water and dissolved solutes between the lipid bilayers (Ghosh and Bachhawat, 1991). Also contemplated is a gene construct complexed with Lipofectamine (Gibco BRL). One of ordinary skill in the art would be familiar with techniques utilizing liposomes and lipid formulations.

[0150] Lipid based non-viral formulations provide an alternative to adenoviral gene therapies. Although many cell culture studies have documented lipid based non-viral gene transfer, systemic gene delivery via lipid based formulations has been limited. A major limitation of non-viral lipid based gene delivery is the toxicity of the cationic lipids that comprise the non-viral delivery vehicle. The in vivo toxicity of liposomes partially explains the discrepancy between in vitro and in vivo gene transfer results. Another factor contributing to this contradictory data is the difference in liposome stability in the presence and absence of serum proteins. The interaction between liposomes and serum proteins has a dramatic impact on the stability characteristics of liposomes (Yang and Huang, 1997). Cationic liposomes attract and bind negatively charged serum proteins. Liposomes coated by serum proteins are either dissolved or taken up by macrophages leading to their removal from circulation. Current in vivo liposomal delivery methods use subcutaneous, intradermal, intratumoral, or intracranial injection to avoid the toxicity and stability problems associated with cationic lipids in the circulation. The interaction of liposomes and plasma proteins is responsible for the disparity between the efficiency of in vitro (Felgner et al., 1987) and in vivo gene transfer (Zhu et al., 1993; Solodin et al., 1995; Thierry et al., 1995; Tsukamoto et al., 1995; Aksentijevich et al., 1996).

[0151] The production of lipid formulations often is accomplished by sonication or serial extrusion of liposomal mixtures after (I) reverse phase evaporation (II) dehydration-rehydration (III) detergent dialysis and (IV) thin film hydration. Once manufactured, lipid structures can be used to encapsulate compounds that are toxic (chemotherapeutics) or labile (nucleic acids) when in circulation. Liposomal encapsulation has resulted in a lower toxicity and a longer serum half-life for such compounds (Gabizon et al., 1990). Numerous disease treatments are using lipid based gene transfer strategies to enhance conventional or establish novel therapies, in particular therapies for treating hyperproliferative diseases.

[0152] E. Vaccines

[0153] As used herein, a “vaccine” is an antigenic composition capable of inducing an immune response to the antigen in a cell, tissue or animal (e.g., a human). As used herein, an “antigenic composition” may comprise an antigen (e.g., a peptide or polypepide), a nucleic acid encoding an antigen (e.g., an antigen expression vector), or a cell expressing or presenting an antigen. In particular embodiments of the present invention, the antigenic composition comprises or encodes all or part of a Spi2A polypeptide or a Spi2A polypeptide equivalent. The antigenic composition may be part of a mixture that comprises one or more additional immunostimulatory agents or nucleic acids encoding such one or more agents. Immunostimulatory agents include, but are not limited to an additional antigen, an immunomodulator, an antigen presenting cell or an adjuvant. In other embodiments, one or more of the additional agent(s) is covalently bonded to the antigen or an immunostimulatory agent, in any combination.

[0154] In certain embodiments, an antigenic composition or immunologically functional equivalent, may be used as an effective vaccine in inducing a humoral and/or cell-mediated immune response against a tumor or viral disease in an subject. The vaccines of the present invention can be applied in either the prevention of cancer or viral infection in the subject, or treatment of a cancer or viral disease in the subject. Any type of tumor is contemplated for treatment or prevention using the vaccines of the present invention. For example, the cancer may be breast cancer, lung cancer, ovarian cancer, brain cancer, liver cancer, cervical cancer, colon cancer, renal cancer, skin cancer, head & neck cancer, bone cancer, esophageal cancer, bladder cancer, uterine cancer, lymphatic cancer, stomach cancer, pancreatic cancer, testicular cancer, lymphoma, or leukemia. Similarly, any type of viral disease is contemplated for treatment by the vaccines of the present invention. For example, the viral disease may be HIV, HSV, ADV, or any other viral disease known to those of ordinary skill in the art.

[0155] In certain embodiments, the immune response is a long-term immune response involving the development of memory T lymphocytes. Spi2A has been shown to promote the development of long-term immunity in a subject (see Example 3 below). The present invention contemplates one or more antigenic compositions or vaccines for use in both active and passive immunization embodiments.

[0156] A vaccine of the present invention may vary in its composition of proteinaceous, nucleic acid and/or cellular components. In a non-limiting example, a nucleic encoding a Spi2A polypeptide or Spi2A polypeptide equivalent might also be formulated with a proteinaceous adjuvant. Of course, it will be understood that various compositions described herein may further comprise additional components. For example, one or more vaccine components may be comprised in a lipid or liposome. In another non-limiting example, a vaccine may comprise one or more adjuvants. A vaccine of the present invention, and its various components, may be prepared and/or administered by any method disclosed herein or as would be known to one of ordinary skill in the art, in light of the present disclosure.

[0157] 1. Proteinaceous Antigens

[0158] It is understood that an antigenic composition of the present invention may be made by a method that is well known in the art, including but not limited to chemical synthesis by solid phase synthesis and purification away from the other products of the chemical reactions by HPLC, or production by the expression of a nucleic acid sequence (e.g., a DNA sequence) encoding a Spi2A polypeptide or Spi2A polypeptide equivalent in an in vitro translation system or in a living cell. Preferably the antigenic composition is isolated and extensively dialyzed to remove one or more undesired small molecular weight molecules and/or lyophilized for more ready formulation into a desired vehicle. It is further understood that additional amino acids, mutations, chemical modification and such like, if any, that are made in a vaccine component will preferably not substantially interfere with the antibody recognition of the epitopic sequence.

[0159] 2. Genetic Vaccine Antigens

[0160] In certain embodiments, an immune response may be promoted by transfecting or inoculating an animal with a nucleic acid encoding one or more Spi2A polypeptides or one or more Spi2A polypeptide equivalents. One or more cells comprised within a target animal then expresses the sequences encoded by the nucleic acid after administration of the nucleic acid to the animal. Thus, the vaccine may comprise “genetic vaccine” useful for immunization protocols. A vaccine may also be in the form, for example, of a nucleic acid (e.g., a cDNA or an RNA) encoding all or part of the peptide or polypeptide sequence of an antigen. Expression in vivo by the nucleic acid may be, for example, by a plasmid type vector, a viral vector, or a viral/plasmid construct vector.

[0161] In preferred aspects, the nucleic acid comprises a coding region that encodes a Spi2A polypeptide or a Spi2A polypeptide equivalent. Of course, the nucleic acid may comprise and/or encode additional sequences, including but not limited to those comprising one or more immunomodulators, adjuvants, or therapeutic agents that can be applied in the treatment of cancer or viral disease. One of ordinary skill in the art would be familiar with techniques for preparation of these nucleic acids for use in the vaccines of the present invention.

[0162] 3. Cellular Vaccine Antigens

[0163] In another embodiment, a cell expressing the antigen may comprise the vaccine. The cell may be isolated from a culture, tissue, organ or organism and administered to an animal as a cellular vaccine. Thus, the present invention contemplates a “cellular vaccine.” The cell may be transfected with a nucleic acid encoding a Spi2A polypeptide or Spi2A polypeptide equivalent. Of course, the cell may also express one or more additional vaccine components, such as immunomodulators, adjuvants, or therapeutic agents that can be applied in the treatment of cancer or an infection, such as a viral infection. A vaccine may comprise all or part of the cell.

[0164] F. Pharmaceutical Preparations

[0165] Pharmaceutical preparations of Spi2A polypeptides and Spi2A polypeptide equivalents for administration to a subject are contemplated by the present invention. In addition, pharmaceutical preparations of Spi2A polypeptides and Spi2A polypeptide equivalents for use in preparing donor granulocytes for administration to a subject in need of donor granulocytes are contemplated by the present invention.

[0166] 1. Formulations

[0167] Any type of pharmaceutical preparation of the Spi2A polypeptide or Spi2A polypeptide equivalent is contemplated by the current invention. One of skill in art would be familiar with the wide range of types of pharmaceutical preparations that are available, and would be familiar with skills needed to generate these pharmaceutical preparations.

[0168] In certain embodiments of the present invention, the pharmaceutical preparation will be an aqueous composition. Aqueous compositions of the present invention comprise an effective amount an of Spi2A polypeptide, or an Spi2A polypeptide equivalent, and the like, dissolved or dispersed in a pharmaceutically acceptable carrier or aqueous medium. Aqueous compositions of gene therapy vectors expressing any of the foregoing are also contemplated. The phrases “pharmaceutical preparation suitable for delivery” or “pharmacologically effective” of “pharmaceutically acceptable” refer to molecular entities and compositions that do not produce an adverse, allergic or other untoward reaction when administered to an animal, or a human, as appropriate.

[0169] As used herein, “pharmaceutical preparation” includes any and all solvents, dispersion media, coatings, antibacterial and antifingal agents, isotonic and absorption delaying agents and the like. The use of such media and agents for pharmaceutical active substances is well known in the art. Except insofar as any conventional media or agent is incompatible with the active ingredient, its use in the therapeutic compositions is contemplated. Supplementary active ingredients can also be incorporated into the compositions. For human administration, preparations should meet sterility, pyrogenicity, general safety and purity standards as required by FDA Office of Biologics standards.

[0170] The biological material should be extensively dialyzed to remove undesired small molecular weight molecules and/or lyophilized for more ready formulation into a desired vehicle, where appropriate. The active compounds will then generally be formulated for administration by any known route, such as parenteral administration. The preparation of an aqueous composition containing an active agent of the invention disclosed herein as a component or active ingredient will be known to those of skill in the art in light of the present disclosure.

[0171] An agent or substance of the present invention can be formulated into a composition in a neutral or salt form. Pharmaceutically acceptable salts, include the acid addition salts (formed with the free amino groups of the protein) and which are formed with inorganic acids such as, for example, hydrochloric or phosphoric acids, or such organic acids as acetic, oxalic, tartaric, mandelic, and the like. A person of ordinary skill in the art would be familiar with techniques for generation of salt forms. The carrier can also be a solvent or dispersion medium containing, for example, water, ethanol, polyol (for example, glycerol, propylene glycol, and liquid polyethylene glycol, and the like), suitable mixtures thereof, and vegetable oils.

[0172] The present invention contemplates Spi2A polypeptides and Spi2A polypeptide equivalents that will be in pharmaceutical preparations that are sterile solutions for intravascular injection or for application by any other route. A person of ordinary skill in the art would be familiar with techniques for generating sterile solutions for injection or application by any other route. Sterile injectable solutions are prepared by incorporating the active compounds in the required amount in the appropriate solvent with various of the other ingredients familiar to a person of skill in the art.

[0173] Upon formulation, solutions will be administered in a manner compatible with the dosage formulation and in such amount as is therapeutically effective. The formulations are easily administered in a variety of dosage forms, such as the type of injectable solutions described above, but drug release capsules and the like can also be employed.

[0174] For parenteral administration in an aqueous solution, for example, the solution should be suitably buffered if necessary and the liquid diluent first rendered isotonic with sufficient saline or glucose. These particular aqueous solutions are especially suitable for intravenous, intramuscular, subcutaneous and intraperitoneal administration. In this connection, sterile aqueous media which can be employed will be known to those of skill in the art in light of the present disclosure.

[0175] The active agents disclosed herein may be formulated within a therapeutic mixture to comprise about 0.0001 to 1.0 milligrams, or about 0.001 to 0.1 milligrams, or about 0.1 to 1.0 or even about 10 milligrams per dose or so. Multiple doses can also be administered.

[0176] In addition to the compounds formulated for parenteral administration, such as intravenous or intramuscular injection, other pharmaceutically acceptable forms include, e.g., tablets or other solids for oral administration; liposomal formulations; time release capsules; and any other form currently used, including cremes. One may also use nasal solutions or sprays, aerosols or inhalants in the present invention.

[0177] Oral formulations include such normally employed excipients as, for example, pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, sodium saccharine, cellulose, magnesium carbonate and the like. These compositions take the form of solutions, suspensions, tablets, pills, capsules, sustained release formulations or powders. A person of ordinary skill in the art would be familiar with well-known techniques for preparation of oral formulations. Such compositions and preparations should contain at least 0.1% of active compound. The percentage of the compositions and preparations may, of course, be varied and may conveniently be between about 2 to about 75% of the weight of the unit, or preferably between 25-60%. The amount of active compounds in such therapeutically useful compositions is such that a suitable dosage will be obtained.

[0178] The use of liposomes and/or nanoparticles is also contemplated for the introduction of the modulator of cell death or gene therapy vectors into host cells. The formation and use of liposomes is generally known to those of skill in the art.

[0179] 2. Dosage

[0180] An effective amount of the therapeutic or preventive agent is determined based on the intended goal, for example inhibition of cell death. The quantity to be administered, both according to number of treatments and dose, depends on the subject to be treated, the state of the subject and the protection desired. Precise amounts of the therapeutic composition also depend on the judgment of the practitioner and are peculiar to each individual.

[0181] In certain embodiments, it may be desirable to provide a continuous supply of the therapeutic compositions to the patient. For example, following myocardial infarction a continuous intravascular administration of the therapeutic agent may be administered for a defined period of time. For topical administrations, repeated application would be employed. For various approaches, delayed release formulations could be used that provide limited but constant amounts of the therapeutic agent over an extended period of time. Continuous perfusion of the region of interest (such as the heart, following myocardial infarction) may be preferred. This could be accomplished by catheterization, followed by continuous administration of the therapeutic agent. The administration could be post-operative, such as following coronary artery bypass grafting. To treat diseases such as severe sepsis, MI and liver failure the inventor will administor TAT-Spi2A polypeptide or TAT-Spi2A polypeptide equivalents by intravenous injection. It is anticipated that the diseased organs will be perfused with the agent and upon uptake into the cytoplasm of cells via the TAT peptide Spi2A will protect cell from apoptotic or necrotic death. The time period for perfusion would be selected by the clinician for the particular patient and situation, but times could range from about 1-2 hours, to 2-6 hours, to about 6-10 hours, to about 10-24 hours, to about 1-2 days, to about 1-2 weeks or longer. Generally, the dose of the therapeutic composition via continuous perfusion will be equivalent to that given by single or multiple injections, adjusted for the period of time over which the doses are administered.

[0182] Those of skill in the art are well aware of how to apply gene delivery to in vivo and ex vivo situations. For viral vectors, one generally will prepare a viral vector stock. Depending on the kind of virus and the titer attainable, one will deliver 1×10⁴, 1×10⁵, 1×10⁶, 1×10⁷, 1×10⁸, 1×10⁹, 1×10¹⁰, 1×10¹¹ or 1×10¹² infectious particles to the patient. Similar figures may be extrapolated for liposomal or other non-viral formulations by comparing relative uptake efficiencies. Formulation as a pharmaceutically acceptable composition is discussed above.

[0183] 3. Tracers to Monitor Gene Expression Following Administration

[0184] Certain embodiments of the present invention employ delivery of the Spi2A polypeptide or Spi2A polypeptide to the target area of interest using expression cassettes. For instance, the target area of interest can be a tumor. Because destruction of microscopic foci of cells such as cancer cells cannot be observed, it is important to determine whether the target site has been effectively contacted with the expression cassette. This may be accomplished by identifying cells in which the expression construct is actively producing the desired polypeptide product. It is important, however, to be able to distinguish between the exogenous polypeptide and that present in tumor and nontumor cells in the treatment area. Tagging of the exogenous polypeptide with a tracer element would provide definitive evidence for expression of that molecule and not an endogenous version thereof. Thus, the methods and compositions of the claimed invention may involve tagging of the polypeptide encoded by the expression cassette with a tracer element. A person of ordinary skill in the art would be familiar with these methods of tagging the encoded polypeptide.

[0185] 4. Secondary Treatment

[0186] Certain embodiments of the claimed invention provide for a method of modulating cell death in a subject with cancer. Other embodiments provide for methods of treating a subject with cancer. Treatment of any type of cancer is contemplated by the present invention. Examples of such cancers include breast cancer, lung cancer, prostate cancer, ovarian cancer, brain cancer, liver cancer, prostate cancer, cervical cancer, colon cancer, renal cancer, skin cancer, liver cancer, prostate cancer, cerivical cancer, colon cancer, renal cancer, skin cancer, head and neck cancer, bone cancer, esophageal cancer, bladder cancer, uterine cancer, lymphatic cancer, stomach cancer, pancreatic cancer, testicular cancer, and leukemia.

[0187] A wide variety of cancer therapies, known to one of skill in the art, may be used in combination with the compositions of the claimed invention. Examples of some of the existing cancer therapies and chemotherapeutic agents include radiation therapy, chemotherapy, surgical therapy, immunotherapy, and gene therapy. Examples of other cancer therapies include phototherapy, cryotherapy, toxin therapy, or hormonal therapy. One of skill in the art would know that this list is not exhaustive of the types of treatment modalities available for cancer and other hyperplastic lesions.

[0188] One of skill in the art will recognize the presence and development of other anticancer therapies which can be used in conjugation with the compositions comprising expression cassettes and will further recognize that the use of the secondary therapy of the claimed invention will not be restricted to the agents described below.

[0189] In order to increase the effectiveness of a an expression construct encoding a polypeptide that modulates cell death, it may be desirable to combine these compositions with other agents effective in the treatment of malignancies. These compositions would be provided in a combined amount effective to kill or inhibit proliferation of the cell. This process may involve contacting the cells with the expression construct and the agent(s) or second factor(s) at the same time. This may be achieved by contacting the cell with a single composition or pharmacological formulation that includes both agents, or by contacting the cell with two distinct compositions or formulations, at the same time, wherein one composition includes the expression construct and the other includes the second agent.

[0190] Alternatively, the gene therapy may precede or follow the other agent treatment by intervals ranging from minutes to weeks. In embodiments where the other agent and expression construct are applied separately to the cell, one would generally ensure that a significant period of time did not expire between the time of each delivery, such that the agent and expression construct would still be able to exert an advantageously combined effect on the cell. In such instances, it is contemplated that one may contact the cell with both modalities within about 12-24 h of each other and, more preferably, within about 6-12 h of each other. In some situations, it may be desirable to extend the time period for treatment significantly, however, where several days (2, 3, 4, 5, 6 or 7) to several weeks (1, 2, 3, 4, 5, 6, 7 or 8) lapse between the respective administrations.

[0191] Administration of the therapeutic expression constructs of the present invention to a patient will follow general protocols for the administration of chemotherapeutics, taking into account the toxicity, if any, of the vector. It is expected that the treatment cycles would be repeated as necessary. It also is contemplated that various standard therapies, as well as surgical intervention, may be applied in combination with the described hyperproliferative cell therapy.

[0192] G. Examples

[0193] The following examples are included to demonstrate preferred embodiments of the invention. It should be appreciated by those of skill in the art that the techniques disclosed in the examples which follow represent techniques discovered by the inventor to function well in the practice of the invention, and thus can be considered to constitute preferred modes for its practice. However, those of skill in the art should, in light of the present disclosure, appreciate that many changes can be made in the specific embodiments which are disclosed and still obtain a like or similar result without departing from the spirit and scope of the invention.

EXAMPLE 1 NF-κB Protects from the Lysosomal Pathway of Cell Death

[0194] Materials and Methods

[0195] Spi2A mRNA expression. Total RNA (4 μg) was extracted from MEFs after treatment with TNF-α (0.2 ng/ml) (R&D) and cyclohexamide (CHX) (0.1 μg/ml) using Trizol Reagent according to manufacturer's instructions (Invitrogen) and Northern blots prepared using standard procedures (Sambrook et al., 2001). Blots were probed with a [α-³²P] dCTP-hexamer labelled cDNA probe encoding Spi2A (Hampson et al., 1997). Blots were stripped and re-probed with similarly labelled control probes encoding IKBA or GAPDH (De Smaele et al., 2001).

[0196] In Spi2A-antisense experiments, the level of Spi2A mRNA was quantitated by real-time PCR using primers and probes specific for Spi2A [forward primer 5′-AAC CAG AGA CCC TGA GGA AGT G-3′ (hereinafter SEQ ID NO:12), reverse primer 5′-AAC TTG GGC AGG CGC AG-3′ (hereinafter SEQ ID NO:13), probe 5′-AAG AAC TCT CTG AAG CCC AGG ATG ATA CAT GA-3′ (hereinafter SEQ ID NO:14) (Inglis et al., 1991) and the cyclophilin A house keeping control gene (Medhurst et al., 2000) [forward primer 5′-CCA TCA AAC CAT TCC TTC TGT AGC-3′ (hereinafter SEQ ID NO:15), reverse primer 5′-AGC AGA GAT TAC AGG ACA TTG CG-3′ (hereinafter SEQ ID NO:16), probe 5′-CAG GAG AGC GTG CCT ACC CCA TCT G-3″ (hereinafter SEQ ID NO:17) (Megabases, Inc). Probes were labelled with the fluorescent reporter dye FAM. Four hours after treatment with CHX (10 μg/ml) and TNF-α (10 ng/ml), RNA was extracted from RelA^(+/+) MEFs using Trizol Reagent (Invitrogen), and then cDNA was generated using Superscript First-Strand Synthesis System for RT-PCR (Invitrogen). Real time PCR reactions were carried out using TaqMan Universal PCR Master Mix according to manufacturer's recommended protocol (PE Applied Biosystems) and analysed on an ABI Prism 7700 Sequence Detection System (PE Applied Biosystems). Data were captured and analyzed using Sequence Detector software (PE Applied Biosystems). The slope of the standard curve describes the efficiency of the real time PCR, which allowed us to ensure that the real time PCR reactions consistently ran at >90% efficiency. The relative concentration of Spi2A RNA was calculated by dividing the concentration of Spi2A RNA by that of the cyclophilin A control gene (Hasel and Sutcliffe, 1990).

[0197] Retroviral transduction of MEFs. The cDNA for human RelA (p65) was sub-cloned into the Hpa 1 restriction site of the MIGR1 retroviral vector in the forward orientation (Franzoso et al., 1996; Zhang and Ren, 1998). The Spi2A open reading frame (ORF) was amplified by PCR from cDNA prepared from purified T cells using a forward primer (5′-AGA ATT CGC CAC CAT GGC TGG TGT CT CCC CTG-3; hereinafter SEQ ID NO:18) and reverse primer (5′-TGT GGA TCC TCC CTG TCA AAT CAG GCA GCA TAG CGG AT-3′; hereinafter SEQ ID NO:19). These primers introduced 5 Bam HI and 3′ EcoR1 restriction sites and mutated the stop codon of Spi2A ORF to facilitate the production of an in frame fusion protein between Spi2A and C-terminal 3xFLAG (22 amino acids) after cloning into the 3xFLAG-CMV-14 expression vector (Sigma-Aldrich). Using the same forward primer and a reverse primer specific for 3xFLAG DNA that introduced an EcoR1 restriction site (5′-GTG AAT TCA TCA CTA CTT GTC ATC GT-3′; hereinafter SEQ ID NO:20), the Spi2A-3xFLAG ORF was amplified by PCR then sub-cloned into the Eco R1 site of the MIGR1 retroviral vector in the forward or reverse orientations. The MIGR1 retroviral vector directed the expression of RelA, Spi2A-3xFLAG or Spi2A-3xFLAG antisense mRNA as a biscistronic mRNA encoding GFP.

[0198] Retrovirus was produced as described previously (Burns et al., 1993). Briefly, the cells of the 293 GP packaging line (4×10⁶) were transiently transfected with MIGR1-Spi2A-3xFLAG DNA (6 μg) and DNA encoding Vesticular Stomatis Virus (VSV) glycoprotein (6 μg) using Lipofectamine PLUS reagent according to manufacturer's instructions (Invitrogen). After 48 and 72 h supernatant containing retrovirus was harvested, filtered and stored at −80° C. until needed. MEFs (1-2×10⁵) were seeded in 6-well plates and transduced with 4 mls of retroviral supernatant containing polybrene (8 μg/ml) by centrifugation (1000 g) for 1 h at room temperature, followed by incubation at 37° C. for 24 h. After 48 h, the transduction efficiency was determined by measuring the percentage of GFP-positive MEFs by FACS, which was routinely 96-98%. Transduced MEFs that were in the top 5% of GFP expression were purified by FACS and cloned.

[0199] Fluorescence microscopy. Rel A^(−/−) MEFs were transduced with retrovirus encoding Spi2A-3xFLAG or empty vector and plated in a Chamber-Slide (Lab-Tek, Nalge Nunc) overnight at 10,000 cell per chamber in 10% FCS containing DMEM. Immunofluorescence localization for Spi2A was performed using the anti-FLAG antibody (Sigma). Briefly, the cells were washed three-times with chilled PBS, fixed in 4% paraformaldehyde (PFA)-PBS for 15 minutes at room temperature (RT), permeabilized using 0.5% Triton-X-100 (15 min. at RT) followed by 5 washes with chilled PBS. The slides were blocked with 2% normal mouse serum (NMS) in PBS (45 min at RT) followed by incubation with the biotinylated anti-FLAG antibody (10 μg/ml, 90 min at RT). After washing off the unbound antibody, the slides were incubated with Streptavidin (SA)-Alexa 546 (1 μg/ml, 60 min at RT, Molecular Probes) followed by washes with chilled PBS. Finally the cells were mounted in Vectashield mounting medium (Vector labs) containing DAPI as the nuclear stain. The cells were observed and imaged on a Leica DMIRE2 inverted microscope outfitted with a Photometrics CoolSNAP HQ digital camera (Roper Scientific). Fluorescence images of each of the fluorophores were acquired sequentially using the following Chroma filter cubes; DAPI—cube #31000 (Ex. 340-380 nm, Em. 435-485 nm), and FLAG—cube #41004 (Ex. 535-585, Em. 610-680 nm). Images were acquired and then overlaid using Meta Imaging Series software version 4.6.5 (Universal Imaging Corporation). To determine whether FLAG was distributed throughout the cytoplasm (rather than being bound to the plasma membrane), Z-series of individual cells were captured and deconvolved using MetaMorph. A 3D model was reconstructed from the Z-series, then sliced, and rotated (again, using MetaMorph) to obtain a side view.

[0200] Protein expression. Anti-serum specific to Spi2A peptides [peptide 1 (amino acids 406-423) NH₂—(C) NPERSTNFPNGEGASSQR—COOH (hereinafter SEQ ID NO:21); peptide 2 (amino acids 278-294) NH₂—(C) SLQPETLRKWKNSLKPR—COOH (hereinafter SEQ ID NO:22) was raised in rabbits using standard procedures (Coligan et al., 1995). Briefly, two rabbits were immunized with each peptide conjugated to KLH then over a period of 3 months boosted twice with immunogen. Anti-Spi2A antibodies were affinity purified on columns of immunizing peptide and eluted in 3M KSCN then dialysed against PBS.

[0201] Detergent extracts from RelA^(−/−) MEFs transduced with control or retrovirus encoding Spi2A were resolved by SDS-PAGE then immunoblotted (25 μg per lane) and probed with either peptide 1 or peptide2-specific anti-Spi2A antibodies (10 μg/ml), using standard protocols (Coligan et al., 1995). Spi2A was detected after probing with goat-anti-rabbit IgG conjugated to horseradish peroxidase (HRP) (Sigma-Aldrich) at 2 μg/ml and chemilluminescence (ECL-kit, Amersham). Antibodies purified from both rabbits immunized with either peptide 1 or 2 detected Spi2A as a 52 kD protein in extracts from Spi2A cells but not GFP cells. To control for equal loading, blots were stripped and re-probed for actin (42 kD) with anti-actin monoclonal antibody clone ACTN05, (RDI Research Diagnostics, Inc) at 0.5 μg/ml and anti-mouse IgG-HRP (Sigma-Aldrich) at 2 μg/ml.

[0202] Survival Assays. Although RelA^(−/−) MEFs are markedly more sensitive to TNF-α compared to RelA^(+/+) MEFs, low levels of CHX (0.1 μg/ml) were used in the survival assays. This was to suppress any protective activity of constitutively active non-Rel A NF-κB molecules that are present in RelA^(−/−) MEFs (FIG. 4). Thus, RelA^(−/−) MEFs were treated with CHX and TNF-α (R&D) and the number of live GFP-positive adherent cells was counted by flow cytometry after 16 h, if not indicated otherwise. Live cells were defined as those that excluded propidium iodide (PI-negative) and had the appropriate size, as defined by forward and side scatter characteristics (Coligan et al., 1995). For RelA^(+/+) MEFs, TNF-α-cytotoxicity was determined after 16 h with CHX (10 μg/ml), if not indicated otherwise. Cathepsin B activity was inhibited by a 1 h pre-treatment of MEFs with CA-074 Me (30 μM) (Peptide Institute). Complete inhibition of cathepsin B activity was verified by enzyme assay. RelA^(−/−) MEFs were treated with (10-50 μM) sphingosine (Calbiochem) and the number of live GFP-positive adherent cells was counted by flow cytometry after 2 h.

[0203] Death effector assays. Death effector pathways were induced in RelA^(−/−) MEFs by treatment TNF-α (0.2 ng/ml) and CHX (0.1 μg/ml). Assays for executioner proteases (caspases and cathepsin B) were performed on crude cytoplasmic extracts (Stegh et al., 2000). Briefly, MEFs (10⁶) were lysed in 10 mM Tris-Cl, pH 7.5, 100 mM NaCl, 1 mM EDTA, 0.01% Triton X-100 (50 μl) for 30 min on ice then centrifuged at 15,000 g for 30 min at 4° C. and the supernatant recovered. Protein concentration was determined by Lowry assay (DC-protein assay kit, Biorad). Western immunoblots were performed on crude cytosolic extracts (50 μg per lane) using standard protocols and probed with the following antibodies: goat anti-mouse Bid antiserum (1 μg/ml; R&D systems), rabbit anti-human caspase 9 antiserum (2 μg/ml; Cell Signaling Technology), rabbit anti-human caspase 3 antiserum (2 μg/ml; Cell Signaling Technology), mouse anti-human caspase 8 monoclonal antibody clone 12F5 (1 μg/ml; Axxora). The following secondary antibodies were used: anti-goat IgG HRP (0.5 μg/ml; Santa Cruz Technology), anti-rabbit IgG HRP (0.5 μg/ml; Amersham), anti-mouse IgG HRP (0.5 μg/ml; Santa Cruz Technology). Specific proteins were visualized using chemilluminesence (ECL-kit, Amersham).

[0204] Colorimetric assays for capases were performed in reaction buffer (50 mM HEPES, pH 7.4, 100 mM NaCl, 10 mM DTT, 1 mM EDTA, 10% glycerol, 0.1% CHAPS) at 37° C. on crude cytoplasmic extracts using p-Nitoaniline (pNA)-labeled substrates (Calbiochem) specific for caspases 3 and 7 (Ac-DEVD-pNA), caspase 8 (Ac-IETD-pNA), caspase 9 (Ac-LEHD-pNA), each at 0.2 mM. Specific activity was determined by subtracting the apparent activity detected after 1 h pre-incubation of extract with the pancaspase inhibitor Z-VAD.fmk at 50 μM (ICN Biomedicals Inc), then normalizing for the amount of protein. Assays for cathepsin B activity in crude cytoplasmic extracts was performed in reaction buffer (100 mM KHPO4 pH 6.1, 2 mM DTT, 1 mM EDTA) at 37° C. using the Z-RR-pNA substrate, which is specific for cathespin B but not other cysteine cathespins from the lysosome (Barrett and Kirschke, 1981), at 0.4 mM (Calbiochem). Specific activity was determined by subtracting the apparent activity detected after 30 min pre-incubation of extract at 37° C. with the cathespin B inhibitor CA-074 Me at 30 μM (Peptide Institute) then normalizing for the amount of protein.

[0205] Mitochondrial membrane potential and ROS production were measured using the fluorescent dyes JC-1 (3 μg/ml) and dihydroethidium (HE) (5 μM)(Molecular Probes) respectively, and flow cytometry according to the manufacturer's instructions.

[0206] Protease specificity of Spi2A. RelA^(−/−) MEFs were transduced with retrovirus encoding Spi2A with a C-terminal 3xFLAG epitope tag and Spi2A-3xFLAG purified using a method described previously (Cooley et al., 1998). Briefly, cells (3×10⁹) were lysed and Spi2A-3xFLAG (75 μg) purified by batch Q-Fast Flow ion-exchange chromatography (Pharmacia Biotech) after elution at 160-220 mM NaCl followed by anti-FLAG antibody columns, performed according to manufacturer's instructions (Sigma-Aldrich). Spi2A-3xFLAG was dialysed into PBS and stored as aliquots at −80° C. until needed.

[0207] Proteases were purchases from the manufacturers (Calbiochem or Athens Research and Technology) except granzymes A and B which were purified as described (Hanna et al., 1993) and cathespin V and K, which were purified as described (Bromme et al., 1999; Linnevers et al., 1997). Proteases (20 nM) were incubated in the appropriate assay buffer with Spi2A at 200 nM (at least 10-fold excess of inhibitor to maintain pseudo-first order conditions) for 1 h at 37° C. Control samples included only the enzyme, without the inhibitor. At the end of 1 h protease activity was assayed. For serine proteases the following substrates (Calbiochem) were used at 1 mM (Al-Khunaizi et al., 2002; Cooley et al., 2001): human cathepsin G—Suc-AAPF-pNA; human elastase—MeOSuc-AAPV-pNA in assay buffer (20 mM Tris-HCl, pH 7.4, 500 mM NaCl, 0.1% PEG); human granzyme B—IETD-pNA; human granzyme A—BLT-pNA. For cysteine cathepsins, the following substrates (Molecular Probes) were used at 5 μM: human cathepsin B, L, K and V, (Z-FR)₂—R110; human cathepsin H, (Z-PR)₂—R110 in assay buffer (50 mM NaAc pH 5.4, 4 mM DTT, 1 mM EDTA)(Al-Khunaizi et al., 2002). Substrate hydrolysis was measured in a fluorescence microtiter plate reader (Spectramax Gemini XS, Molecular Devices). Percentage inhibition was calculated from the residual enzyme activity compared to no Spi2A controls. Incubation with alkaline phosphatase tagged with C-terminal 3xFLAG (Sigma-Aldrich) under the same conditions had no effect on protease activity.

[0208] Transduction of Rel A^(−/−) MEFs with retrovirus encoding Rel A results in the expression of Rel A. Over expression of members of the Rel family of transcription factors are known to inhibit cell division (Bash et al., 1997). Therefore, to avoid over expression of Rel A at levels greater than wild-type, RelA^(−/−) MEFs were analyzed only 24 h after transduction. Rel A was detected in Rel A^(−/−) MEFs 24 h after transduction with retrovirus encoding Rel A by probing immunoblots (50 μg per lane) with rabbit anti-Rel A (1 μg/ml) (Sressgen Biotechnologies).

[0209] Spi2A does not affect NF-κB activation. The possibility that Spi2A protects from TNF-α-induced apoptosis by directly activating NF-κB was examined. Therefore, using electrophoretic mobility shift assays (EMSAs), studies were conducted to determine whether Spi2A itself promotes NF-κB activation in nuclei from Rel A^(−/−) MEFs transduced with Spi2A or whether the abrogation of Spi2A mRNA up-regulation by Spi2A antisense message inhibits NF-κB activation in RelA^(+/+) MEFs. In Rel A^(−/−) MEFs, super shift analysis of nuclear fractions with specific antibodies revealed the presence of p50/p50 homodimers and heterodimers of p50 and Rel-related proteins other than Rel A. As has been noted previously, the p50/Rel heterodimers but not the p50/p50 homodimers were induced by TNF-α (Franzoso et al., 1993; Franzoso et al., 1992). Importantly, the expression of Spi2A did not affect the expression of these NF-κB complexes. In Rel A^(+/+) MEFs, super-shift analysis confirmed the induction of p50/Rel A by TNF-α. The inhibition of Spi2A mRNA induction in Spi2A-A cells did not abrogate the induction of NF-κB by TNF-α. It was concluded that Spi2A does not directly affect the activation of NF-κB transcription factors following stimulation with TNF-α. Thus, the anti-apoptotic activity of Spi2A is unlikely to be mediated through the modulation of NF-κB activation.

[0210] Kinetics of cathepsin B inhibition by Spi2A. The second-order association rate constant for the inhibition of cathepsin B by Spi2A was measured by following the continuous hydrolysis of the cathepsin B substrate, (Z-FR) 2-R110, in presence and in absence of a 10-fold excess of the inhibitor (Pseudo-first order conditions). Briefly, 20 nM cathepsin B was added to 5 μM substrate, in presence or in absence of 200 or 400 nM (10- or 20-fold excess respectively) of Spi2A in activation buffer. Reactions were performed in 96-well microtitre plates. The final reaction volume was 200 μl. The rate of substrate hydrolysis was continuously monitored for 3 min. The dead time for the measurement (the time between the addition of the enzyme to the substrate (with or without inhibitor) and the first spectrophotometric measurement was ˜30 s.

[0211] The inhibitory reaction was too fast to be measured using our conventional spectrophotometer. The enzyme was completely inhibited, within the dead time of the measurement. This indicated that the second-order association rate constant approached diffusion limited rates (>10⁶ M⁻¹ s⁻¹).

[0212] TNF-α disrupts the pH of lysosomes. Lysosome internal pH was measured by staining with the weak basic, lysosomotropic dye—acridine orange (AO)—and flow cytometry (Zhao et al., 2000). Increase in lysosomal pH results a corresponding decrease in AO red fluorescence and the appearance of AO-low cells. It was shown that TNF-R1 cross-linking results in the appearance of AO-low cells in Rel A^(−/−) MEFs transduced with control retrovirus (GFP) (Supplementary FIG. 4). Rel A^(−/−) MEFs transduced with Spi2A exhibited the appearance of less AO-low cells. The appearance of AO-low cells can be interpreted as lysosomal rupture, and so it is possible that Spi2A in some way protects lysosomes from damage induced by TNF-α.

[0213] Results

[0214] NF-κB antagonizes the lysosomal pathway of cell death. NF-κB protects cells from TNF-α-mediated death through the up-regulation of protective genes, which inhibit the apoptotic cascade at several different points. A role for cathepsin B has been demonstrated in the TNF-R1-induced death of several types of tumor cells using specific inhibitors of cathepsin B, such as CA-074 Me (Foghsgaard et al., 2001). The complete inhibition of cathepsin B activity by CA-074 Me (30 μM) protected RelA^(−/−) MEFs from TNF-α-induced death (FIG. 1A). Therefore, cathepsin B activity contributes to the susceptibility of RelA^(−/−) MEFs to TNF-α-induced apoptosis.

[0215] Studies in primary and tumor cells have demonstrated that activation of TNF-R1 results in the release of cathespin B from the lysosome into the cytoplasm where it triggers apoptosis (Foghsgaard et al., 2001; Guicciardi et al., 2000; Werneburg et al., 2002). Using RelA^(−/−) MEFs, the effect of RelA complementation on the induction of cytosolic cathespin B activity after TNF-α treatment was examined. RelA^(−/−) MEFs were transduced with retrovirus encoding RelA on a polycistronic mRNA encoding GFP (Zhang and Ren, 1998). As has been shown before, expression of RelA in RelA^(−/−) MEFs restored NF-κB function and gave complete protection from TNF-α-cytotoxicity (FIG. 1B) (Beg and Baltimore, 1996). The influence of NF-κB/RelA on the induction of cathespin B activity in the cytosol after treatment with TNF-α was next examined. An increase in cathepsin B activity of cytosolic extracts from control RelA^(−/−) MEFs as early as two hours after treatment with TNF-α was observed, which then increased with time (FIG. 1C). In contrast, transduction with RelA extinguished cathepsin B activity in the cytoplasm of RelA^(−/−) MEFs for as long as eight hours after treatment with TNF-α (FIG. 1C). Thus, NF-κB may up-regulate genes that inhibit cathepsin B activity in the cytosol.

[0216] Induction of Spi2A by NF-κB protects from TNF-α-mediated cell death. The transcription of Spi2A is induced by inflammatory stimulation and depends on NF-κ-binding (Hampson et al., 1997; Hampson et al., 2001; Inglis et al., 1991). Initially, studies were conducted to determine whether Spi2A was a physiologic target of NF-κB. Spi2A mRNA (2.3 kb) was strongly induced by TNF-α in RelA^(+/+) MEFs, but this induction was completely abolished in NF-κB/RelA^(−/−) MEFs (Beg and Baltimore, 1996) (FIG. 2A). While dramatic, the induction of Spi2A expression occurred with slower kinetics compared to the expression of ikba, a known target of NF-κB (De Smaele et al., 2001). These results indicate that Spi2A is a physiological target of NF-κB.

[0217] The control of cell survival is critically dependent on the induction of protective genes by NF-κB transcription factors (Karin and Lin, 2002). Studies were conducted to examine whether Spi2A can protect RelA^(−/−) MEFs from TNF-α-induced death. RelA^(−/−) MEFs were transduced with retrovirus encoding Spi2A on a polycistronic mRNA with the GFP gene (Zhang and Ren, 1998). Cells from stable clones transduced with Spi2A (Spi2A cells) exhibited markedly improved survival against TNF-α, whereas cloned cells transduced with vector alone (GFP cells) did not (FIG. 2B). Protection of RelA^(−/−) MEFs from TNF-α correlated with the expression of Spi2A protein (FIG. 2C). At low concentrations of TNF-α protection by Spi2A was virtually complete (FIG. 2B, see 0.5 ng/ml TNF-α) and was dramatic even after 16 hours at high concentrations, indicating that Spi2A can temporarily substitute for NF-κB complexes in inhibiting TNF-α-induced apoptosis.

[0218] To verify that cyto-protection mediated by Spi2A was not due to over-expression, we generated wild-type (RelA^(+/+)) MEFs expressing Spi2A in an antisense orientation (Spi2A-A cells). After treatment with TNF-α, analysis by real-time PCR revealed that the up-regulation of endogenous Spi2A mRNA was abrogated in stable clones of Spi2A-A cells (Medhurst et al., 2000) (FIG. 3A). Despite their ability to activate NF-κB, Spi2A-A cells exhibited a marked susceptibility to TNF-α-induced cell death (FIG. 3B). The sensitivity of Spi2-A cells to TNF-α was also observed in the absence of cyclohexamide (CHX), indicating that TNF-α-cytotoxicity was not due to an inhibition of protein synthesis in Rel A^(+/+) MEFs (FIG. 4). Thus, Spi2A is required to antagonize TNF-α-induced apoptosis, and protection from death is a physiological function of Spi2A.

[0219] Spi2A protects from apoptosis. NF-κB protects cells from death induced by TNF-α by up-regulating the expression of genes which antagonize the mitochondrial pathway of apoptosis (Baldwin, 2001; Beg and Baltimore, 1996). Given the ability of Spi2A to substitute for NF-κB complexes in protecting from TNF-α, studies were conducted to determine whether Spi2A could inhibit the mitochondrial pathway of apoptosis. In RelA^(−/−) MEFs, TNF-α activation of caspase-8, 9 and 3, and the proapoptotic Bcl-2 family member Bid, was assessed by western blots (FIG. 5A), and in vitro enzyme assays (Budihardjo et al., 1999; Stegh et al., 2000) (FIG. 5B). Remarkably, the activation of both apical and executioner caspases, as well as Bid, was suppressed in RelA^(−/−) MEFs that expressed high levels of Spi2A. In these cells mitochondrial depolarization—a key indicator of apoptosis—was virtually abrogated by Spi2A (Budihardjo et al., 1999) (FIG. 5C). Importantly, Spi2A also suppressed the production of reactive oxygen species (ROS), which mediate TNF-α-cytotoxicity (Goossens et al., 1995) (FIG. 5D). Thus, Spi2A abrogates TNF-α-induced caspase activation, mitochondrial depolarization and ROS production in NF-κB null cells, thereby recapitulating the effects of the transcription factor on apoptosis (Wang et al., 1998).

[0220] Spi2A inhibits lysosomal cysteine cathepsins. To determine the mechanism by which Spi2A antagonized apoptosis, studies were conducted to examine the protease specificity of Spi2A in vitro. Spi2A was purified from RelA^(−/−) MEFs transduced with retrovirus encoding epitope-tagged Spi2A (Cooley et al., 2001) (FIG. 6A). Spi2A inhibited both serine and cysteine proteases, similar to the serpin, SQN-5 (Al-Khunaizi et al., 2002). Spi2A inhibited the chymotrypsin-like, serine protease cathepsin G, but not elastase or either granzyme B or granzyme A (FIG. 6B). The specificity of Spi2A for cysteine proteases extended to all of the lysosomal, papain-like proteases that were examined—cathepsin B, V, L, K and H. Spi2A inhibited cathespin B with a rate constant k of >10⁶ M⁻¹ s⁻¹, and so is likely to be a physiologically relevant inhibitor in vivo (Silverman et al., 2001). However, the inhibitory effects of Spi2A did not extend to any of the caspases tested (3, 8 or 9) (FIG. 6B). Thus, Spi2A is a cross-class specific inhibitor of both serine proteases and lysosomal cysteine cathepsins.

[0221] Spi2A localizes to the cytoplasm and nucleus. Spi2A is an unusual member of the chymotrypsin-like family of serpins in that it lacks a secretory signal sequence and so is likely to be located intracellularly (Hampson et al., 1997). To further examine of Spi2A in protection from TNF-α-induced apoptosis we first determined the intracellular location of FLAG-tagged Spi2A in stably transduced Rel A^(−/−) MEFs (FIG. 2B). Immunofluorescence studies revealed staining with anti-FLAG antibodies in the cytoplasm and nucleus. Z-section analysis confirmed uniform distribution of anti-FLAG staining throughout the cytoplasm rather than in the plasma membrane. It was concluded that Spi2A resides in the cytoplasm and nucleus. The nucleo-cytoplasmic localization of Spi2A revealed by these studies is concordant with findings of others with macrophage cell lines and COS cells using Spi2A anti-sera in immuofluorescence studies (Morris et al., 2002). Localization in the cytoplasm raises the possibility that Spi2A may protect from apoptosis through the inhibition of cathepsin activity after release from the lysosome (FIG. 1C).

[0222] Spi2A antagonizes the lysosomal pathway of cell death. The up-regulation of Spi2A by NF-κB protects cells from apoptosis following ligation of TNF-R1 (FIG. 2). Spi2A can inhibit cathepsin B in vitro (FIG. 6B), and is located in the cytosol. Therefore, the induction of Spi2A and inhibition of cathepsin B after it is released into the cytoplasm may be a mechanism by which NF-κB antagonizes the lysosomal pathway of cell death (FIG. 1).

[0223] As was observed with Rel A complementation (FIG. 1B), Spi2A inhibited the induction of cytosolic cathepsin B activity, after treatment of Rel A^(−/−) MEFs with TNF-α (FIG. 7A). Direct treatment of cells with sphingosine causes the release of cathespin B from the lysosome and the induction of apoptosis (Foghsgaard et al., 2001; Kagedal et al., 2001; Wemeburg et al., 2002). Consistent with a role in protecting from lysosome-mediated apoptosis, Spi2A could protect Rel A^(−/−) MEFs from death after treatment with sphingosine (FIG. 7B). Overall, these results indicate that Spi2A abrogates TNF-α-induced activation of cytoplasmic cathepsin B in NF-κB null cells, thereby recapitulating the effects of the transcription factor on the lysosomal pathway of apoptosis.

[0224] Importantly, the inhibition of endogenous Spi2A mRNA expression by antisense Spi2A resulted in the induction of cytoplasmic cathepsin B activity after treatment of RelA^(+/+) MEFs with TNF-α (FIG. 7C). These results indicate that the inhibition of cathepsin B activity in the cytosol by Spi2A is a physiologically relevant mechanism by which NF-κB protects cells from the lysosomal pathway of apoptosis.

EXAMPLE 2 Spi2A Inhibits Caspase-Independent Cell Death

[0225] Materials and Methods

[0226] TNF-α death assays. NIH3T3 cells were transduced with MIGR1 retrovirus (Zhang and Ren, 1998) encoding either GFP alone, or Spi2A in the forward (sense) or reverse (antisense) orientation and stable clones generated, as described previously (Liu et al., 2003). Cells were treated with TNF-α. (R&D) and after 16 h the number of live GFP-positive adherent cells were counted by flow cytometry (Liu et al., 2003). Live cells were defined as those that excluded propidium iodide (PI-negative) and had the appropriate size, as defined by forward and side light scatter characteristics. Caspase activity was inhibited by pre-treatment of cells or extracts for 1 h with Z-VAD.fmk (ICN Biomedicals Inc; 50 μM). Complete inhibition of caspase activity was verified by enzyme assay (Liu et al., 2003). In anti-sense experiments the level of Spi2A mRNA was quantitated by real-time PCR using primers and probes specific for Spi2A (Inglis et al., 1991) and cyclofilin A control mRNA (Medhurst et al., 2000), 4 h after treatment with Z-VAD.fmk (50 μM) and TNF-α (10 ng/ml), as described previously (Liu et al., 2003).

[0227] Death effector assays. Death effector pathways were induced in by treatment of NIH3T3 cells with TNF-α (10 pg/ml) and Z-VAD.fmk (50 μM). Colorimetric assays for cathepsin B were performed on crude cytoplasmic extracts (Stegh et al., 2000). Briefly, NIH3T3 cells (10⁶) were lysed in 10 mM Tris Cl, pH 7.5, 100 mM NaCl, 1 mM EDTA, 0.01% Triton X-100 (50 μl) for 30 min on ice then centrifuged at 15,000×g for 30 min at 4° C. and the supernatant recovered. Protein concentration was determined by Lowry assay (DC-protein assay kit, Biorad). Cathepsin B was assayed in reaction buffer using the p-Nitoaniline (pNA)-labeled substrate Z-RR-p NA (Calbiochem) (Barrett and Kirschke, 1981). Specific activity was determined by subtracting the apparent activity detected in the presence of the cathepsins B inhibitor CA074-Me (30 μM) inhibitor (Peptide Institute) (Liu et al., 2003). Mitochondrial membrane potential and ROS production was measured using the fluorescent dyes JC-1 (3 μg/ml) and dihydroethidium (HE) (5 μM) (Molecular Probes) respectively, and flow cytometry according to the manufacturer's instructions.

[0228] Results

[0229] Spi2A protects from caspase-independent PCD. Complete inhibition of caspase activity by Z-VAD.fmk can sensitise normally resistant cells with wild-type levels of NF-κB to TNF-α-induced PCD (Vercammen et al., 1998; Khwaja and Tatton, 1999). In FIG. 9A, as expected (Khwaja and Tatton, 1999), complete inhibition of caspase activity by Z-VAD.fmk sensitised NIH 3T3 fibroblasts to PCD by TNF-α was shown.

[0230] Lysosomal cathepsins, such as cathepsin B, can induce PCD in the absence of caspase activity (Foghsgaard et al., 2001). This raises the possibility that because Spi2A is a potent inhibitor of cathepsin B, it may protect against a caspase-independent program of cell death (Borner and Monney, 1999). To address this, NIH 3T3 cells were transduced with retrovirus encoding Spi2A (Spi2A cells) on a polycistronic mRNA with green fluorescent protein (GFP) and stable clones which express high levels of Spi2A generated (Liu et al., 2003; Zhang and Ren, 1998). In the absence of caspase activity, Spi2A cells exhibited markedly improved survival against TNF-α, compared to cloned cells transduced with GFP alone (GFP cells) (FIG. 9B). Therefore, Spi2A can protect against caspase-independent PCD.

[0231] Spi2A is a physiological inhibitor of caspase-independent PCD. To verify that cyto-protection from caspase-independent PCD mediated by Spi2A was not due to over expression, clones of NIH3T3 cells expressing Spi2A in an anti-sense orientation (Spi2A-A cells) were generated (Liu et al., 2003). It has been shown that prior treatment with TNF-α induces the expression of Spi2A in an NF-κB-dependent manner (Liu et al., 2003). As expected, real-time PCR revealed that in the presence of Z-VAD.fmk, treatment with TNF-α resulted in the up-regulation of Spi2A mRNA in control NIH3T3 cells (Medhurst et al., 2000) (FIG. 10A). Importantly, after treatment with TNF-α the up-regulation of endogenous Spi2A mRNA was abrogated in stable clones of Spi2A-A cells (FIG. 10A).

[0232] In the absence of caspase activity, the inhibition of endogenous Spi2A mRNA expression by anti-sense message resulted in a marked increase in the susceptibility of cells to TNF-α-induced PCD (FIG. 10B). It has been previously shown that Spi2A has no direct effect on NF-κB activation, therefore is unlikely that the knock-down in Spi2A expression increased PCD by impairing NF-κB function (Liu et al., 2003). Thus, Spi2A is required to antagonize TNF-α-induced PCD in the absence of caspase activity.

[0233] Spi2A suppresses mitochondrial pathways of PCD in the absence of caspase activity. The permeabilization of the outer membrane of the mitochondrion is central to most caspase-independent death programs (Jaattela and Tschopp, 2003). One important consequence of damaged mitochondria is the release of reactive oxygen species (ROS), which are thought to be particularly important in mediating TNF-α cytotoxicity (Goossens et al., 1995). Given the ability of Spi2A to protect from caspase-independent PCD, studies were conducted to determine whether Spi2A could protect cells from mitochondrial depolorization and ROS production. The knock-down in Spi2A expression resulted in the onset of mitochondrial depolorization (FIG. 11A) and ROS production (FIG. 11B) after treatment of Spi2A-A cells with Z-VAD.fmk and TNF-α. Therefore, these results indicate that Spi2A is a physiological inhibitor of caspase-independent mechanisms of PCD.

[0234] Spi2A is a physiological inhibitor of the lysosomal pathway of death in the absence of caspase activity. Cysteine cathepsins, notably cathepsin B, are potent inducers of both caspase-dependent and caspase-independent PCD (Guicciardi et al., 2000; Foghsgaard et al., 2001; Liu et al., 2003). Spi2A is located in the cytoplasm and so can protect from caspase-dependent apoptosis by suppressing cytoplasmic cathepsin B activity after it is released from the lysosome (Liu et al., 2003). Studies were conducted to determine if this mechanism of cyto-protection by Spi2A extends to the inhibition of caspase-independent PCD. In the absence of caspase activity, the inhibition of endogenous Spi2A mRNA expression by antisense Spi2A resulted in the induction of cytoplasmic cathepsin B activity after treatment of NIH3T3 cells with TNF-α (FIG. 12A). Thus, the inhibition of cytosolic cathepsin B by Spi2A is a physiologically relevant mechanism by which Spi2A blocks the lysosomal pathway of cell death in the absence of caspase activity.

[0235] Spi2A protects NIH3T3 cells from death due to reactive oxygen species. NIH3T3 fibroblasts from independent clones harboring control retrovirus (GFP clones #, 18, 12 and 2) or one expressing Spi2A (Spi2A clones# 6, 4 and 2) were incubated with Naphazarin—a known initiator of Reactive Oxygen Species (ROS). After 16 hours, the percentage of live cells was determined by flow cytometry as described in Liu et al., 2003. A significantly increased survival of cells from all three clones expressing Spi2A compared to GFP controls was observed (FIG. 12B).

EXAMPLE 3 Identification of Spi2A as a Protective Gene that Facilitates the Differentiation of Memory T Lymphocytes

[0236] Materials and Methods

[0237] Mice. Wild type C57BL/6, RAG1^(−/−) C57BL/6 (Mombaerts et al., 1992), CD8^(−/−) C57BL/6 mice (Fueng-Leung et al., 1991) (obtained from The Jackson Laboratory), RAG1^(+/+) B6.2.16 (Kisielow et al., 1988) and RAG1^(−/−) B6.2.16 transgenic mice (Opferman et al., 1999) (129/SvJ×C57BL/6) were maintained and bred under standard specific pathogen free (SPF) conditions.

[0238] Anti-HY memory CD8 cells. Naïve B6.2.16 CD8 cells (>85% pure) were isolated from the lymph nodes (LN) of female RAG1-deficient B6.2.16 mice (Opferman et al., 1999). Anti-HY effectors were generated by culturing splenocytes from female RAG1-deficient B6.2.16 mice with HY peptide for 4 d as previously described (Markiewicz et al., 1998). Anti-HY effectors (>95% pure) were adoptively transferred into female RAG1-deficient mice. After 200 d, memory B6.2.16 CD8 cells (>80% pure) were recovered from the spleens and LNs by magnetic bead sorting with anti-thy1.2 beads (Miltenyi Biotec).

[0239] LCMV Infections. LCMV Armstrong was stored as high titer stocks as described before (Lin and Welsh, 1998). For primary infections C57BL/6 mice were infected by intra-peritoneal (i.p) injection of 2×10⁵ plaque forming units (PFU) of LCMV and for secondary infections 10⁶ PFU i.p. To obtain primary CTL effectors from the spleen, mice were sacrificed after 8 d and to obtain memory CD8 cells, mice were sacrificed no sooner than 80 days after infection. Secondary effectors were obtained from the spleen 5 d after re-infection of C57BL/6 mice, which were previously with LCMV 60 d before.

[0240] Flow Cytometric Analyses. The following mAbs were used: anti-CD8α (allophycocyanin [APC]-labeled), anti-B220 (R-phycoerythrin [PE] labeled), anti-CD44-PE, anti-IFN-γ-PE (rat IgG₁) and rat IgG₁-PE isotype control (Pharmingen). H-2 Db-tetramers were refolded with the following LCMV peptides: NP 396 [FQPQNGQFI (SEQ ID NO:23)], GP 33 [KAVYNFATM (SEQ ID NO:24)] or GP 276 [SGVENPGGYCL (SEQ ID NO:25)] and labeled with streptavidin-PE, as described previously (Ober et al., 2000). Suspensions of splenocytes were prepared after red blood cell lysis and Ficoll-purification (Coligan et al., 1995) and stained with a cocktail including all three PE-labeled tetramers (each at 5 μg/ml) and anti-CD8α mAb or a combination of other mAbs for 30 min at 4° C. in staining buffer as described before (Murali-Krishna et al., 1998). T cells were enriched by magnetic sorting with anti-thy1.2 beads before purification by FACS (MoFlo; DakoCytomation). Naïve cells (CD44^(low)CD8⁺) were FACS-purified from the spleens of un-infected C57BL/6 mice by staining with anti-CD8α-APC and anti-CD44-PE antibodies.

[0241] To detect functional memory cells, splenocytes (5×10⁶/ml in 0.2 ml) were incubated with all three LCMV peptide antigens (each at 10⁻⁷ M) for 5 h in the presence of Golgi-block according to manufacturer's instructions (Pharmingen). Cells were fixed in 1% paraformaldehyde, permeabilized with 0.3% saponin and stained with anti-IFN-γ or isotype control (rat IgG₁) mAb according to manufacturer's instructions.

[0242] Analysis of gene expression. RNA from B6.2.16 CD8 cells was isolated using Trizol® Reagent (Invitrogen) and used to make cRNA for hybridization with Affymetrix Gene Arrays® (Mul IKA and Mu11KB) according to the company's instructions. RNA from anti-LCMV CD8 cells was purified using Trizol® Reagent (Invitrogen), and then cDNA was generated using Superscript™ First-Strand Synthesis System for RT-PCR (Invitrogen). The unique specificity of each set of primers and probes was verified by checking the sequences against the GenBank database (which may be found at the National Institutes of Health website on the internet). Probes contained the fluorescent reporter dye FAM and either TAMRA or QSY7 as the quencher (MegaBases, Inc.). Real-timePCR reactions were carried out using TaqMan® Universal PCR Master Mix (PE Applied Biosystems) and run on an ABI Prism 7700 Sequence Detection System. The slope of the standard curve describes the efficiency of the real-time PCR, which allowed us to ensure that the real-time PCR reactions consistently ran at >90% efficiency. The relative RNA concentrations were calculated by dividing the concentration of candidate gene RNA by the concentration of the cyclophilin A control gene (Medhurst et al., 2000).

[0243] Retrovirally transduced bone-marrow chimeras. Donor C57BL/6 mice (8-10 w) were injected i.p. with 5-fluorouracil (150 mg/Kg; Sigma) and after 5 d bone marrow was harvested and plated in 24-well plates (10⁶/well) for 48 h in conditioned medium [DMEM with 15% heat-inactivated fetal calf serum, penicillin (10 U/ml), streptomycin (10 μg/ml), L-glutamine (2 mM), and β-mercaptoethanol (5×10⁻⁵ M), recombinant (r)-mouse IL-3 (20 ng/ml, Biosource International), IL-6 (10 ng/ml, R&D), r-mouse stem cell factor (50 ng/ml, Biosource International) and r-human flt3 ligand (50-100 ng/ml, R&D)]. Stem cells were then harvested and transduced with MIGR1 MuMLV (Zang and Ren, 1998). The production of MIGR1 empty control virus (GFP) or those viruses encoding Spi2A in the sense (Spi2A) or anti-sense orientation (Spi2A-A) on polycistronic messages with GFP has been described before (Liu et al., 2003). For transduction, bone-marrow stem cells (1.5×10⁶) were re-suspended in 24-well plates with retrovirus supernatants (2 ml/well) in conditioned medium containing polybrene (8 μg/ml) and centrifuged (1000×g) for 3 h at 4° C. After two days, C57BL/6 CD8-deficient mice (6-8 w) were y-irradiated (1200 rads) then injected intravenously (i.v.) with transduced bone marrow (1.5-2.0×10⁶ cells/mouse).

[0244] Results

[0245] Identification of genes up-regulated in memory CD8 cells. Gene-array technology was used to broadly survey differences in gene expression between memory and naïve CD8 cells. In this study, CD8 cells that express the B6.2.16 transgenic TCR (Kisielow et al., 1988) that recognizes the male-specific HY peptide presented by H-2 Db (Markiewicz et al., 1998) were used. Nafve anti-HY CD8 cells were obtained directly from the lymph nodes of female RAG1-deficient B6.2.16 mice (Opferman et al., 1999). Anti-HY CTLs were generated by in vitro culture of B6.2.16 CD8 cells with HY peptide, and then adoptively transferred to antigen-free, RAG1-deficient mice. After 200 days, memory B6.2.16 CD8 cells were purified from the spleens of these recipients, as described previously (Markiewicz et al., 1998; Opferman et al., 1999). Analysis of approximately 11,000 mouse genes using RNA isolated from naïve and memory B6.2.16 CD8 cells revealed that 241 genes were significantly up-regulated by at least 2-fold in memory CD8 cells (Table 2 and Table 3). TABLE 2 DNA 11KA ARRAY ANALYSIS OF GENE EXPRESSION IN B6.2.16 CD8 CELLS Accession Fold Sort Number Gene Change Score AA165775_s_at EST 42.5 20.58 L28117_s_at Mouse NF-kappa-B (p105) mRNA 36.8 16.82 aa199380_s_at EST 32.4 13.03 aa415898_s_at EST 26.9 13.21 aa617493_s_at EST 23.8 11.87 aa542220_s_at EST 21.2 10.37 aa616578_s_at EST 20.3 8.97 u29947_s_at Mus musculus alpha-D-mannosidase (Man2b1) mRNA, 19.3 9.46 aa178252_s_at EST 16.8 3.1 J05261_f_at Mouse protective protein (Mo54) mRNA, complete cds 16.4 9.43 m19681_s_at Platelet-derived growth factor-inducible protein (JE) gene 15.4 6.16 aa521734_g_at EST 14.7 6.28 aa711915_at EST 14.4 6.79 m74294_s_at Mouse IL-1rn antagonist protein mRNA, complete cds 14.4 6.47 aa103548_s_at EST 14.2 4.88 aa050541_s_at EST 13.8 4.96 aa474495_at EST 12.2 0.8 U59807_f_at Mus musculus cystatin B (Stfb) gene, complete cds 11.4 4.53 aa546670_s_at EST 11.4 4.52 U43085_s_at Glucocorticoid-attenuated response gene 39 (GARG-39) mRNA 10.8 4.8 aa616057_at EST 10.8 3.8 aa575696_at EST 10.5 4.59 U51014_s_at Mus musculus prolidase (pep4) mRNA, complete cds 9.7 0.82 aa184455_at EST 9.6 3.15 aa124813_s_at EST 9.5 3.39 aa616705_s_at EST 9.3 5.3 AA403550_s_at EST 9.2 3.72 aa050066_s_at EST 9 3.58 I02333_s_at Bilirubin/phenol family UDP glucuronosyltransferase (ugtBr) 8.6 3.19 I32974_s_at Mouse interferon-inducible protein homologue mRNA 8.5 7.73 D18303_rc_at Mouse 3′-directed cDNA; MUSGS01123; clone md1345 8.3 3.14 I75822_s_at Mus musculus follistatin-like protein mRNA, complete cds 8.3 0.55 X00686_3_at X00686 Mouse gene for 18S rRNA 8.2 4.83 D44464_s_at Mouse mRNA for uridine phosphorylase, complete cds 8.2 2.07 aa198402_s_at EST 8.2 1.55 aa122717_at EST 8.1 2.86 AA124895_s_at EST 8 2.78 AA288280_s_at EST 7.9 2.8 aa472322_at EST 7.9 2.77 L32973_s_at Mouse thymidylate kinase homologue mRNA, complete cds 7.8 5.89 U72643_s_at lymphocyte specific transcript (LST) mRNA, partial cds 7.2 8.47 U18424_s_at Mus musculus bacteria binding macrophage receptor MARCO 7.2 2.03 AA208776_s_at EST 7 2.7 aa260827_s_at EST 7 1.42 aa277739_at EST 6.9 1.27 aa175784_s_at EST 6.8 9.08 AA617408_rc_s EST 6.6 1.72 U86137_s_at Mus musculus telomerase protein-1 mRNA, complete cds 6.6 1.7 aa606536_s_at EST 6.6 1.58 aa268226_g_at EST 6.4 2.16 aa673555_at EST 6.2 2.37 aa217241_s_at EST 6.2 1.92 C78062_rc_f_at EST 6.2 1.89 c75942_rc_s_at EST 6.2 1.63 M12481_3_st M12481 Mouse cytoplasmic beta-actin mRNA 6.1 3.08 AF013114_s_at Cytokine receptor-like molecule (EBI3) mRNA, complete cds 6.1 1.91 aa270965_s_at EST 6.1 0.55 aa137620_s_at EST 6 0.84 aa620113_s_at EST 6 0.38 aa116735_s_at EST 5.9 2.59 aa462486_s_at EST 5.7 0.88 aa153748_at EST 5.7 0.47 k02782_s_at Complement component C3 mRNA, alpha and beta subunits 5.6 2.87 aa103570_s_at EST 5.6 1.37 AB008895_g_at Mus musculus mRNA for mGpi1p, complete cds. 5.5 0.79 aa285831_s_at EST 5.4 2.51 U44731_s_at Mus musculus putative purine nucleotide binding protein mRNA 5.4 2.13 j05663_s_at Mouse vas deferens androgen related protein (MVDP) mRNA 5.4 1.5 u19482_s_at Mus musculus C10-like chemokine mRNA, complete cds 5.4 1.43 aa543970_at EST 5.4 0.99 I13732_s_at Mouse macrophage-specific integral membrane protein (Nramp) 5.1 3.16 M55154_s_at Mouse transglutaminase (TGase) mRNA, complete cds 5.1 2.47 af018268_at Mus musculus Sp-alpha mRNA, complete cds. 5.1 1.23 L19932_s_at Mouse (beta ig-h3) mRNA, complete cds 5 4.56 aa185385_s_at EST 5 1.38 aa611449_at EST 5 1.25 aa182189_at EST 4.9 5.48 m31419_f_at Mouse 204 interferon-activatable protein mRNA, complete cds 4.9 2.36 L42293_s_at Mus musculus acyl-coenzyme A: cholesterol acyltransferase mR 4.9 1.91 u73004_s_at Mus musculus secretory leukocyte protease inhibitor mRNA 4.8 4.36 d14566_f_at Lmp-2 gene for LMP-2 polypeptide and Tap-1 gene (exon 1-3) 4.8 2.28 aa608160_s_at EST 4.8 0.95 u09138_s_at peroxisome proliferator activated protein-gamma-2 4.8 0.42 M60474_f_at Mouse myristoylated alanine-rich C-kinase substrate (MARCKS) 4.7 3.8 M58288_s_at Mus musculus granulocyte colony-stimulating factor receptor 4.7 2.85 aa422356_s_at EST 4.7 1.74 u05265_s_at Mus musculus BALB/c gp49B gene 4.6 3.72 L38281_rc_g_at immune-responsive gene 1 (Irg1) mRNA, 3′ end of cds 4.6 2.46 c77476_rc_at EST 4.6 2.01 aa189512_g_at EST 4.5 2.66 m12279_s_at Interferon-induced Mx protein resistance to influenza virus 4.5 2.05 X00686_5_at Mouse gene for 18S rRNA 4.5 0.96 aa266888_s_at EST 4.5 0.76 C76739_rc_at EST 4.4 1.46 d83648_s_at Musculus domesticus mRNA for C-C chemokine receptor 5 4.4 1.04 aa002704_at EST 4.4 0.7 U19119_s_at Mus musculus G-protein-like LRG-47 mRNA, complete cds 4.3 2.15 u06948_s_at Mus musculus strain Balb/c Fas ligand mRNA 4.3 1.64 U70538_s_at UDP-GalNAc: polypeptide N-acetylgalactosaminyltransferase-T3 4.3 0.98 AA189702_at EST 4.2 4.15 aa273574_f_at EST 4.2 2.81 u05809_s_at Mus musculus LAF1 transketolase mRNA, complete cds 4.2 2.78 U28168_s_at EST 4.2 2.73 aa277088_s_at EST 4.2 1.86 aa617442_s_at EST 4.2 0.77 U76832_s_at Mus musculus plasma membrane protein syntaxin-4 mRNA 4.2 0.52 af018268_g_at Mus musculus Sp-alpha mRNA, complete cds. 4.1 4.12 aa212898_s_at EST 4.1 1.28 aa182980_s_at EST 4.1 0.23 aa543783_s_at EST 3.9 1.1 aa230831_s_at EST 3.9 0.76 aa682037_rc_at EST 3.9 0.63 aa555736_s_at EST 3.9 0.31 aa212981_s_at EST 3.8 2.92 c81475_rc_f_at EST 3.8 1.53 aa059717_s_at EST 3.8 1.39 aa273845_s_at EST 3.8 1.39 aa254525_i_at EST 3.8 0.76 c77389_rc_s_at EST 3.8 0.34 m33863_s_at Mouse 2′-5′ oligo A synthetase mRNA, complete cds. 3.7 3.36 M93275_s_at Mouse adipose differentiation related protein (ADFP) mRNA 3.7 2.39 aa185911_s_at EST 3.7 1.93 aa014427_s_at EST 3.7 1.84 m85153_s_at M. musculus alpha-1,3-galactosyltransferase mRNA 3.7 0.66 aa267296_s_at EST 3.7 0.55 k02109_f_at Mouse 3T3-L1 lipid binding protein mRNA, complete cds 3.7 0.42 aa261246_s_at EST 3.6 3.25 j03023_s_at Murine macrophage gene, encoding bmk (B cell/myeloid kinase) 3.6 2.65 d37873_s_at Mouse fcm gene for Fc receptor 3.6 1.81 aa289002_s_at EST 3.6 1.67 L07924_s_at Guanine nucleotide dissociation stimulator for a ras-related 3.6 1.62 GTPase aa277082_g_at EST 3.6 1.61 aa420407_rc_s EST 3.6 1.13 u54984_s_at Mus musculus membrane-type matrix metalloproteinase 1 mRNA 3.6 0.74 d13003_s_at Mus musculus reticulocalbin mRNA, complete cds 3.6 0.68 c76527_rc_g_at EST 3.5 2.72 U39827_s_at Mus musculus putative G protein-coupled receptor TDAG8 3.5 1.22 (TDAG8) j04953_f_at Mouse gelsolin gene, complete cds 3.5 0.48 aa562600_s_at EST 3.5 0.19 U73037_s_at Mus musculus interferon regulatory factor 7 (mirf7) mRNA 3.4 2.64 m86736_f_at Mouse acrogranin mRNA, complete cds 3.4 2.23 U56773_s_at Mus musculus pelle-like protein kinase mRNA, complete cds 3.4 1.27 m89641_s_at Mus musculus interferon alpha/beta receptor (IFNAR) mRNA 3.4 0.85 af004666_s_at Mus musculus sodium-calcium exchanger (NCX1) mRN 3.4 0.7 U72941_s_at Mus musculus annexin IV mRNA, complete cds. 3.4 0.66 aa274431_s_at EST 3.3 2.01 m15131_s_at Mouse interleukin 1-beta (IL-1-beta) mRNA, complete cds 3.3 1.84 aa684476_s_at EST 3.3 1.73 aa009160_s_at EST 3.3 1.18 aa271265_s_at EST 3.2 2.56 aa473331_s_at EST 3.2 1.67 aa288442_s_at EST 3.2 1.27 aa104485_s_at EST 3.2 0.84 d49956_s_at Mouse mRNA for 8-oxo-dGTPase 3.2 0.18 d87967_s_at Mouse mRNA for SHPS-1, complete cds 3.1 2.2 m59470_f_at Mouse cystatin C mRNA, complete cds 3.1 1.92 m27960_s_at Mouse interleukin-4 receptor (secreted form) mRNA, complete cds 3.1 1.58 m32370_s_at Mouse transcription factor PU.1 mRNA, complete cds 3.1 1.28 AA261113_at EST 3.1 0.72 j05287_s_at Mouse lysosomal membrane glycoprotein (LAMP-2) 3.1 0.7 aa529056_g_at EST 3.1 0.49 I03799_s_at Mouse interleukin-1 beta convertase (IL-1bc) mRNA, complete 3.1 0.47 cds aa154376_s_at EST 3.1 0.31 aa409826_rc_s EST 3 2.69 AF002718_s_at Mus musculus ATPase inhibitor (IF1) mRNA, complete cds 3 1.09 aa682062_rc_s EST 3 0.82 AA267281_i_at EST 3 0.55 AA183138_f_at EST 3 0.37 m18466_f_at Mouse lymphocyte differentiation antigen Ly-6C.2 mRNA 2.9 2.41 aa109873_s_at mm02f05.r1 Mus musculus cDNA, 5′ end 2.9 1.79 aa266897_at EST 2.9 1.21 aa286391_s_at EST 2.9 1.04 aa199273_s_at EST 2.9 0.89 M29855_s_at Mouse interleukin-3 receptor mRNA, complete cds 2.9 0.47 aa407794_rc_at EST 2.9 0.45 aa245242_s_at EST 2.8 1.96 U15635_s_at Mus musculus IFN-gamma induced (Mg11) mRNA, complete cds 2.8 1.82 aa217659_s_at EST 2.8 1.36 aa407697_rc_s EST 2.8 1.07 aa239477_s_at EST 2.8 1.04 M34141_s_at Mouse prostaglandin endoperoxide (PGG/H) mRNA, complete 2.8 0.91 cds L16462_s_at Mus musculus hemopoietic-specific early response protein (A1) 2.8 0.89 I26489_s_at Mus musculus furin (FUR) mRNA, complete cds 2.8 0.86 AF012129_at Mus musculus putative DNA methyltransferase (Dnmt2) mRNA 2.8 0.57 m12302_s_at Mouse C11 mRNA encoding T-cell specific protein CCPI 2.8 0.51 M73329_s_at Mouse phospholipase C-alpha (PLC-alpha) mRNA, complete cds 2.7 1.9 aa185574_s_at EST 2.7 1.69 aa170668_s_at EST 2.7 1.42 c76527_rc_at EST 2.7 1.14 M25825_f_at Mouse tctex-1 mRNA, complete cds 2.7 1.13 M11024_at Endogenous mammary tumor virus RNA, env gene and right LTR 2.7 0.86 M31314_s_at Mouse high affinity IgG receptor (Fc-gamma RI) mRNA 2.7 0.52 u70475_s_at p45 NF-E2 related factor 2 (NRF2) gene, exon 2 to exon 5 2.7 0.52 AA169001_at EST 2.7 0.44 D50264_s_at Mouse mRNA for phosphatidylinositol glycan class F, complete 2.7 0.23 cds. AA231005_f_at EST 2.7 0.15 L02241_s_at Mouse protein kinase inhibitor (testicular isoform) mRNA 2.7 0.14 ab004664_g_at Mus musculus DNA for Rab33B, exon 2 and complete cds 2.7 0.13 m37761_s_at Mouse calcyclin mRNA, complete cds 2.6 1.9 AA178227_at EST 2.6 1.32 aa210359_s_at EST 2.6 1.18 aa000380_s_at EST 2.6 1.08 aa285530_s_at EST 2.6 1.06 u05837_s_at Mus musculus B6/CBA beta-hexosaminidase (Hexa) mRN 2.6 0.96 aa691772_at EST 2.6 0.92 U20159_s_at Mus musculus 76 kDa tyrosine phosphoprotein SLP-76 2.6 0.86 aa733351_s_at EST 2.6 0.85 U71205_s_at Mus musculus rit mRNA, complete cds 2.6 0.77 C77861_rc_s_at EST 2.6 0.73 U88908_s_at Mus musculus inhibitor of apoptosis protein 1 mRNA, complete 2.6 0.64 cds. aa289572_s_at EST 2.6 0.59 c81612_rc_at EST 2.6 0.32 U44940_s_at Mus musculus quaking type I (QKI) mRNA, complete cds 2.6 0.25 aa105104_at EST 2.6 0.16 aa386453_at EST 2.6 0.11 aa162557_s_at EST 2.5 1.5 m17440_s_at Mouse MHC (H-2) S region complement component C4 gene 2.5 1.19 m94584_s_at Mus musculus secretory protein (YM-1) mRNA 2.5 1.12 aa174394_f_at EST 2.5 0.94 C79010_rc_at EST 2.5 0.92 U06119_s_at Mus musculus cathepsin H prepropeptide (ctsH) mRNA 2.5 0.91 aa408789_rc_s EST 2.5 0.8 aa185007_s_at EST 2.5 0.76 aa546047_s_at EST 2.5 0.76 aa273938_s_at EST 2.5 0.43 aa615853_s_at EST 2.5 0.4 aa066610_g_at EST 2.5 0.36 aa692678_i_at EST 2.5 0.25 M74495_s_at Mouse adenylosuccinate synthetase mRNA, complete cds 2.5 0.25 u56920_s_at Mus musculus steroid receptor coactivator 1a (Src1a) mRNA 2.5 0.17 m22531_f_at Mouse complement C1q B chain mRNA, complete cds 2.4 1.56 u24700_s_at Mus musculus protein tyrosine phosphatase (HA2) mR 2.4 1.25 C79895_rc_at EST 2.4 1.19 aa253918_at EST 2.4 0.96 u07617_s_at Mus musculus BALB/C Grb2 adaptor protein (grb2) mRNA 2.4 0.96 aa242556_s_at EST 2.4 0.95 aa216920_s_at EST 2.4 0.81 M32010_s_at Mouse MHC H-2K/t-w5-linked open reading frame mRNA 2.4 0.8 AA266395_s_at EST 2.4 0.74 C78749_rc_g EST 2.4 0.7 U53219_s_at Mus musculus GTPase IGTP mRNA, complete cds. 2.4 0.68 AF013099_at Mus musculus multiubiquitin-chain-binding protein (Mcb1) mRNA 2.4 0.65 aa543785_g_at EST 2.4 0.56 aa538478_s_at EST 2.4 0.55 aa638884_s_at EST 2.4 0.51 AA615066_g_at EST 2.4 0.41 aa242340_s_at EST 2.4 0.23 m64291_s_at Mus musculus prostaglandin synthase mRNA, complete cds. 2.4 0.15 aa638539_s_at EST 2.3 1.06 aa172851_s_at EST 2.3 0.93 M65027_s_at Mouse cell surface antigen gp49 mRNA, complete cds 2.3 0.9 U44426_s_at Mus musculus D52 (mD52) mRNA, complete cds 2.3 0.77 aa711028_s_at EST 2.3 0.66 aa403731_f_at EST 2.3 0.58 L36314_f_at Mus musculus GDP dissociation inhibitor beta mRNA, 2.3 0.52 D16432_s_at Mouse murine CD63 mRNA for murine homologue of 2.3 0.46 CD63/ME491 M12481_M_st M12481 Mouse cytoplasmic beta-actin mRNA 2.3 0.45 AA184228_s_at EST 2.3 0.34 aa268084_s_at EST 2.3 0.33 aa529389_s_at EST 2.3 0.19 I02210_s_at Mus musculus tyrosine kinase-related protein mRNA, complete 2.3 0.09 cds K01925_f_at Mouse MHC class II H2-IA-alpha gene (q haplotype), mRNA 2.2 0.92 m57696_f_at Mouse lyn A protein tyrosine kinase (lynA) mRNA, complete cds 2.2 0.77 D49949_s_at Mouse mRNA for IGIF precursor polypeptide, complete cds 2.2 0.71 aa271499_s_at EST 2.2 0.7 L12120_s_at Mouse interleukin-10 receptor (II10r) mRNA, complete cds 2.2 0.64 aa672840_s_at EST 2.2 0.61 d85561_s_at Mus musculus mRNA for proteasome subunit MECL1, complete 2.2 0.6 cds. aa198790_s_at EST 2.2 0.56 aa711151_s_at EST 2.2 0.51 u57325_s_at Mus musculus PS-2short mRNA, partial cds 2.2 0.48 aa276368_s_at EST 2.2 0.47 AA407689_rc_s EST 2.2 0.42 U44389_s_at EST 2.2 0.42 D78135_s_at Mouse mRNA for glycine-rich RNA binding protein CIRP 2.2 0.39 L36435_s_at Mus Musculus basic domain/leucine zipper transcription factor 2.2 0.34 aa275260_s_at EST 2.2 0.33 C80444_rc_at EST 2.2 0.18 af015284_s_at Mus musculus selenoprotein W (mSeIW) mRNA, complete cds. 2.1 1.02 aa119603_at EST 2.1 0.75 m14215_s_at Mouse Fc gamma receptor (IgG 2.4G2 receptor mRNA 2.1 0.69 I31532_g_at Mus musculus bcl-2 alpha gene, exon 2 2.1 0.66 U43673_s_at Mus musculus putative transmembrane receptor IL-1Rrp mRNA 2.1 0.63 aa182340_s_at EST 2.1 0.56 aa611413_at EST 2.1 0.54 aa274091_at EST 2.1 0.53 d82019_f_at Mouse gene for basigin precursor, basigin signal precursor 2.1 0.5 aa544884_s_at EST 2.1 0.44 k01496_f_at Mouse MHC, class III antigen, factor B (H-2d haplotype) 2.1 0.43 I25069_s_at Mouse catalase mRNA, complete cds 2.1 0.42 AA183642_at EST 2.1 0.34 U30838_s_at EST 2.1 0.33 M63695_s_at Mouse CD1.1 mRNA, complete cds 2.1 0.32 D18928_rc_at EST 2.1 0.15 aa407332_at EST 2.1 0.07 m11284_s_at Mouse MHC class I Qa-TIa mRNA, (H2-d haplotype), clone pH2- 2 0.89 d-37 m25244_f_at Mouse pre-B cell P2B/LAMP-1 mRNA, complete cds 2 0.83 u89269_s_at Mus musculus preprodipeptidyl peptidase I mRNA, complete cds. 2 0.78 aa538556_g_at EST 2 0.74 aa177433_s_at EST 2 0.73 AF017630_at Vascular actin single-stranded DNA-binding factor 2 p44 2 0.64 aa726578_at EST 2 0.57 m35244-2_s_at Mouse MHC class I H2-TL-T10-129 mRNA (b haplotype) 2 0.55 ab009287_s_at Mus musculus gene for Macrosialin, complete cds. 2 0.54 aa028770_i_at EST 2 0.52 aa219775_s_at EST 2 0.51 aa116686_s_at House mouse; Musculus domesticus male brain mRNA for ARF1 2 0.48 U58888_s_at EST 2 0.47 M29697_s_at Mouse interleukin-7 receptor (IL-7) mRNA, complete cds 2 0.4 D50494_s_at Mouse mRNA for murine RCK, complete cds 2 0.39 U80819_s_at Mus musculus glutathione-S-transferase homolog mRNA 2 0.33 aa607833_at EST 2 0.33 J03776_s_at Mouse down regulatory protein (rpt-1r) of interleukin 2 0.31 aa606712_at EST 2 0.25 u29396_s_at Mus musculus annexin V (Anx5) mRNA, complete cds 2 0.24 aa475660_s_at EST 2 0.24 aa543494_s_at EST 2 0.23 k00020_s_at mouse interferon-beta mma 2 0.19 AA409042_rc EST 2 0.06 aa467619_s_at EST −2 −0.33 C79965_rc_i_at EST −2 −0.33 D38613_s_at Mouse 921-L mRNA for presynaptic protein, complete cds −2 −0.43 aa172909_f_at EST −2 −0.96 aa388848_s_at EST −2 −1.07 U70210_s_at TR2L mRNA PIR:JC5060 (tumor necrosis factor resistant protein −2.1 −0.28 aa285607_s_at EST −2.1 −0.31 aa199023_at EST −2.1 −0.44 C78859_rc_at EST −2.1 −0.48 U69535_s_at Mus musculus semaphorin M-sema G mRNA −2.1 −0.49 u23462_s_at Mus musculus CD7 antigen (Cd7) gene, complete cds. −2.1 −0.64 L29441_f_at Mus musculus mRNA, complete cds −2.1 −0.65 c80656_rc_at EST −2.1 −1.33 aa543724_f_at EST −2.1 −1.56 M83219_s_at Mus musculus intracellular calcium-binding protein (MRP14) −2.1 −1.57 mRNA I37297_s_at Mus musculus (clone B6) myeloid secondary granule protein −2.1 −1.61 mRNA AA230776_f_at EST −2.1 −1.87 D17577_s_at Mouse mRNA for kinesin-like protein (Kif1b), complete cds −2.2 −0.25 AA617397_rc_s EST −2.2 −0.78 M21065_s_at Mouse interferon regulatory factor 1 mRNA, complete cds −2.2 −1.4 AA432883_f_at EST −2.2 −2.17 m83218_s_at Mus musculus intracellular calcium-binding protein (MRP8) mRNA −2.2 −2.18 L31609_s_at S29 ribosomal protein mRNA, complete cds −2.2 −2.44 U21855_s_at Mus musculus mCAF1 protein mRNA, complete cds −2.3 −0.12 M68944_s_at Mouse alpha-interferon gene, complete cds −2.3 −0.17 aa546953_at EST −2.3 −0.36 aa021959_s_at EST −2.3 −0.38 u28807_s_at lymphoid-specific transcription factor NFATc3 mRNA, partial cds −2.3 −0.6 aa409750_at EST −2.3 −0.87 m14343_s_at Ly-5 (leucocyte-common antigen) pseudogene mRNA, clone R2 −2.3 −1.58 AA409561_rc_f EST −2.3 −2 C80754_rc_f_at EST −2.3 −2.21 aa518802_s_at EST −2.3 −2.29 AA709861_f_at EST −2.3 −2.35 U93863_s_at Mus musculus ribosomal protein L21 mRNA −2.3 −2.63 u10551_s_at Mus musculus Gem GTPase (gem) mRNA −2.4 −0.47 aa521747_s_at EST −2.4 −0.57 u20735_s_at Mus musculus transcription factor junB (junB) gene, 5′ region −2.4 −1.56 aa529064_f_at EST −2.4 −2.05 c76068_rc_g_at EST −2.4 −3 C78891_rc_at EST −2.5 −0.17 C78676_rc_f_at EST −2.5 −1.81 C79877_rc_f_at EST −2.5 −1.97 M29475_s_at Mouse recombination activating protein (RAG-1) mRN −2.6 −0.19 AA124090_r_at EST −2.6 −0.26 m76763_f_at Mus musculus ribosomal protein (Ke-3) mRNA, complete cds −2.6 −3.08 U11274_s_at Mus musculus clone pmuAUF1-3 RNA-binding protein AUF1 −2.7 −0.42 mRNA u80036_s_at Mus musculus orthodenticle-like homeobox 2 (Otlx2) −2.7 −0.55 aa175340_s_at EST −2.7 −0.64 U11248_f_at Mus musculus C57BL/6J ribosomal protein S28 mRNA −2.7 −3.45 U49861_s_at Mus musculus type 1 deiodinase (DIO1) mRNA −2.8 −0.28 AF011424_s_at Mus musculus putative pheromone receptor (VR14) mRNA −2.8 −0.56 J00475_V0082 Mouse germline IgH chain gene, DJC region: segment D-FL16.1 −2.8 −1.28 d00208_s_at pEL98 protein mRNA which is enhanced cells Balb/c373 −2.8 −1.74 aa538407_s_at EST −2.8 −3.21 D18860_rc_at EST −2.9 −0.61 AA060336_at EST −2.9 −0.99 m12815_g_at T-cell receptor active gamma-chain from cytotoxic T cell line −2.9 −1.3 j04716_f_at Mouse ferritin light chain, complete cds. −2.9 −3.92 M12481_M_at M12481 Mouse cytoplasmic beta-actin mRNA −2.9 −4.61 c81467_rc_g_at EST −3 −0.42 AF031568_s_at Mus musculus heterogeneous nuclear ribonucleoprotein G −3 −0.42 (Hnrnpg) aa614984_f_at EST −3 −2.74 j04181_f_at Mouse A-X actin mRNA, complete cds −3 −3.46 D50527_f_at Mouse mRNA for TI-225, complete cds. −3 −4.05 M12481_5_at M12481 Mouse cytoplasmic beta-actin mRNA −3 −4.41 aa538404_g_at EST −3 −5.06 U52951_s_at Mus musculus putative transcriptional regulator mEnx-1 mRNA −3.1 −0.68 u58494_f_at Intracisternal A-particle mRNA, gag gene, pol and env −3.1 −1.78 pseudogenes aa036204_s_at EST −3.2 −4.94 U29402_f_at Mus musculus acidic ribosomal phosphoprotein P1 mRNA −3.2 −5.11 u47329_f_at Mus musculus MHC class I heavy chain precursor (H-2K(d)) −3.2 −5.62 mRNA aa170492_s_at EST −3.3 −1.47 M33330_f_at Mouse insulinoma (rig) mRNA, complete cds −3.3 −4.6 U93862_s_at Mus musculus ribosomal protein L41 mRNA, complete cds −3.4 −6.34 m22432_f_at protein synthesis elongation factor Tu(eEF-Tu, eEf-1-alpha)mRNA −3.4 −6.47 U25096_s_at Mus musculus Kruppel-like factor LKLF mRNA, complete cds −3.5 −3.3 AA691239_f_at EST −3.5 −4.86 C79965_rc_f_at EST −3.5 −5.51 AA673251_rc EST −3.8 −1.06 aa044510_s_at EST −3.9 −1.82 C79964_rc_f_at EST −3.9 −5.49 m16118_at mRNA for T-cell receptor insulin (A-chain) reactive alpha chain −4 −7.9 VJC AB000777_at Mouse mRNA for photolyase/blue-light receptor homolog −4.1 −0.69 c79329_rc_at EST −4.1 −0.85 U66575_rc_at STAT6 (Stat6) gene, partial cds and NAB2 (Nab2) gene, 3′UTR −4.1 −1.46 C76057_rc_f_at EST −4.1 −7.06 C77806_rc_f_at EST −4.2 −1.31 aa220788_s_at EST −4.3 −0.25 AA210605_f_at EST −4.3 −7.36 u04268_s_at Mus musculus C57BL/6 Sca-2 precursor mRNA, complete cds −4.3 −7.69 aa616325_g_at EST −4.4 −1.1 c76944_rc_f_at EST −4.5 −10.6 u78085_s_at Mus musculus ribosomal protein S5 mRNA, complete cds −4.6 −10 aa538062_at EST −4.7 −1.17 C79473_rc_f_at EST −4.8 −11.8 D84391_f_at Mouse L1 repetitive element, complete sequence. −4.9 −6.65 AA673251_rc_g EST −5.1 −1.27 aa118259_at EST −5.2 −1.46 aa190087_at EST −5.2 −1.73 M12481_3_at M12481 Mouse cytoplasmic beta-actin mRNA −5.4 −13.6 AA590859_f_at EST −5.5 −13.2 aa407468_rc_s EST −5.7 −2.66 AA675026_rc_f EST −5.7 −4.28 c75983_rc_f_at EST −5.7 −9.52 c76162_rc_f_at EST −6 −8.17 AA016609_at EST −6.1 −1.9 aa217487_s_at EST −6.2 −6.19 m25812_s_at Mouse T lymphocyte antigen (A1) mRNA, complete cds −6.3 −2.12 U12236_s_at Mus musculus AKR alpha M290 integrin mRNA, complete cds −6.3 −3.76 aa666971_f_at EST −7 −19.7 m54996_s_at T-cell receptor gamma-chain mRNA, clone MNG8 −7.7 −3.92 D19392_rc_f_at EST −8.7 −7.6 aa038322_s_at EST −10.6 −5.18 c79507_rc_f_at EST −11 −19.9 u28493_s_at Mus musculus lymphotactin, exon 3 and complete cds −11.8 −5.13 C79775_rc_f_at EST −12 −27.7 m12848_s_at Mouse myb proto-oncogene mRNA encoding 71 kd myb protein −13.7 −7.74 aa008853_s_at EST −22.1 −10.7 aa120608_s_at EST −23.5 −11.7 AA261028_f_at EST −32.4 −32.4

[0246] TABLE 3 DNA 11KB ARRAY ANALYSIS OF GENE EXPRESSION IN B6.2.16 CD8 CELLS Accession Fold Sort Number Gene Change Score ET62206_r_at Anti-digoxin immunoglobulin heavy chain variable region 47.6 36.62 Msa.4190.0_s_at EST 27.7 19.26 Msa.717.0_s_at Mouse glycerophosphate dehydrogenase gene, complete cds 21.9 14.84 Msa.3906.0_f_at EST 20 13.63 Z31557_s_at (129/Sv)Cctz mRNA for chaperonin containing TCP-1 19.2 14 Msa.556.0_f_at Mouse creatine kinase B gene, complete cds 17.2 11.78 x62742_s_at M. musculus Ma mRNA. 16 10.13 Msa.1903.0_s_at H2-M alpha chain (H2-Ma) gene, H2-M beta 2 chain 10.8 6.13 Msa.9251.0_s_at EST 10.7 6.17 w58861_s_at EST 9.8 3.61 x63027-2_at M. musculus DNA for VSAG13 (viral superantigen) 8 6.36 Msa.6056.0_s_at EST 8 11.53 Msa.12592.0_l_at Homologous to sp P18085: ADP-RIBOSYLATION FACTOR 4 7.9 3.67 x56602_s_at Mus musculus mRNA Interferon-induced 15-KDa protein. 7.9 12.27 Msa.510.0_f_at Mouse factor B mRNA, complete cds 7.7 6.59 X00686_5_at Mouse gene for 18S rRNA 7.5 3.89 Msa.12676.0_at Homologous to TRNA-PROCESSING PROTEIN SEN3 7.5 0.86 Msa.3665.0_s_at EST 7.2 5.85 Msa.16995.0_s EST 7.2 5.34 Msa.853.0_f_at EST 6.7 5.24 X61800_s_at M. musculus mRNA for C/EBP delta 6.6 2.33 Z22661_f_at M. musculus Apoc1 gene, exons 1 to 3 and complete CDS 6.6 2.64 X00686_3_at Mouse gene for 18S rRNAns 6.6 5.49 Msa.4941.0_s_at EST 6.4 2.21 Msa.2361.0_s_at EST 6.1 3.01 w71676_at EST 6 5.18 Msa.1700.0_s_at Mus musculus PAF acetylhydrolase mRNA, complete cds 5.7 7 x01450_s_at Mouse mRNA for interleukin-1. 5.6 0.52 x03479_s_at Mouse mRNA fragment for serum amyloid A (SAA) 3 protein 4.9 2.32 Msa.1108.0_f_at Mouse protective protein (Mo54) mRNA, complete cds 4.8 4.14 X54966_rc_at M. musculus ctsB gene (3′ end) for cathepsin B. 4.8 1.71 Msa.5010.0_s_at EST 4.8 1.67 w65767_s_at EST 4.8 1.59 Msa.40135.0_s_(—) EST 4.6 1.87 Msa.954.0_s_at Mus musculus TAP2 (TAP2-d) mRNA, complete cds 4.6 2.13 ET62928_r_at M. musculus antibody heavy chain variable region (366bp) 4.6 1.35 z12297_s_at M. musculus mRNA for intercrine 4.5 1.29 Msa.23863.0_f_a EST 4.5 0.7 Msa.16075.0_s_a CREATINE KINASE, B CHAIN (EC 2.7.3.2) 4.3 6.16 Msa.1843.0_at Macrophage inflammatory protein-1 alpha receptor 4.2 1.44 Msa.30006.0_s_a EST 4.2 0.89 Msa.928.0_f_at Myristoylated alanine-rich C-kinase substrate (MARCKS) 4 4.12 Msa.739.0_s_at C57BL/6J ob/ob haptoglobin mRNA, complete cds 3.9 3.86 Msa.1867.0_s_at Vacuolar adenosine triphosphatase subunit A gene 3.8 0.31 Msa.21652.0_f_a AA027619 mi08d05.r1 Mus musculus cDNA, 5′ end 3.8 3.9 x06746_s_at Mouse mRNA for Krox-20 protein containing zinc fingers 3.8 0.82 Msa.497.0_s_at M. musculus mRNA for calcyclin 3.8 1.7 Msa.1600.0_s_at Mus musculus MPS1 gene and mRNA, 3′end 3.7 4.96 w41301_s_at EST 3.7 0.61 Msa.339.0_at Mus musculus C57BL/6 platelet-type 12-lipoxygenase 3.6 0.59 Msa.22134.0_s_a EST 3.6 2.89 Msa.10860.0_s_a EST 3.6 1.05 Msa.918.0_f_at Musculus domesticus mRNA for Ly-6C variant 3.5 4.42 Msa.5523.0_s_at EST 3.5 1.2 X70100_f_at M. musculus mal1 mRNA for keratinocyte lipid-binding protein 3.4 2.29 Msa.18459.0_f_a EST 3.4 3.36 Msa.43194.0_f_a M. musculus membrane glycoprotein gene 3.3 1.57 X16874_f_at Mouse mRNA for complement protein C1q B-chain 3.3 3.42 Msa.1583.0_s_at Mouse primary response gene B94 mRNA, 3′end 3.3 2.65 z49877_s_at M. musculus syk mRNA for protein-tyrosine kinase. 3.3 2.88 ET61114_f_at Musculus domesticus mRNA for Ly-6C variant 3.2 3.82 x04972_s_at Mouse mRNA for manganese superoxide dismutase (MnSOD) 3.2 2 x67809_s_at M. musculus mama mRNA. 3.1 2.02 Z11974_s_at M. musculus mRNA for macrophage mannose receptor 3.1 2.58 Msa.8157.0_s_at EST 3.1 2.23 X67644_s_at M. musculus gly96 mRNA. 3.1 2.13 Msa.2433.0_f_at EST 3.1 0.91 ET62839_at Immunoglobulin-like receptor PIRA1 (6M21) mRNA 3.1 1.2 X61147_s_at M. musculus mRNA for iron responsive element binding protein. 3 1.06 Msa.4559.0_s_at EST 3 1.02 Msa.41726.0_f_a AA163967 mr24g07.r1 Mus musculus cDNA, 5′ end 3 0.5 Msa.2623.0_g_at M. musculus mRNA for GTP-binding protein 2.9 0.89 Msa.16148.0_s_a EST 2.8 1.45 Msa.126.0_s_at Mouse Bax alpha mRNA, complete cds 2.8 0.93 Msa.3356.0_s_at EST 2.8 0.76 Msa.3138.0_s_at EST 2.7 0.98 Msa.23293.0_f_a AA048604 mj32g02.r1 Mus musculus cDNA, 5′ end 2.7 1.54 AFFX-b-ActinMur Mouse cytoplasmic beta-actin mRNA 2.7 1.15 w91378_s_at EST 2.7 1.45 Msa.30325.0_f_a AA097051 mm51b03.r1 Mus musculus cDNA, 5′ end 2.6 1.63 w99005_s_at EST 2.6 0.69 ET61664_s_at Mus musculus FcgammaRIIB mRNA, complete cds. 2.6 0.89 Msa.43200.0_s_a Mouse mRNA for transcription factor S-II-related protein 2.6 0.17 X58472_at Mouse KIN17 mRNA for kin17 protein. 2.6 0.31 v01527_s_at Major histocompatibility class II antigen, I-A-beta 2.6 2.25 w71236_s_at Mus musculus FcgammaRIIB mRNA, complete cds. 2.5 1.38 Msa.41362.0_f_a AA170251 ms87e11.r1 Mus musculus cDNA, 5′ end 2.5 1.4 Msa.17631.0_f_a Mouse adenylosuccinate synthetase mRNA, complete cds 2.5 0.91 Msa.4956.0_f_at EST 2.5 0.81 x56548_s_at M. musculus Np-b mRNA for purine-nucleoside phosphorylase 2.4 1.24 Msa.3943.0_s_at EST 2.4 0.5 Msa.1660.0_f_at Mus musculus medium-chain acyl-CoA dehydrogenase 2.4 0.63 Msa.920.0_f_at Mus musculus medium-chain acyl-CoA dehydrogenase 2.4 1.38 X06368_s_at Murine mRNA for c-fms proto-oncogene. 2.4 1.75 w45964_s_at EST 2.4 1.03 w12941_s_at EST 2.4 2.52 X12616_s_at Mouse c-fes proto-oncogene mRNA for c-fes protein 2.4 1.07 Msa.37791.0_s_a EST 2.4 0.55 Msa.4469.0_at EST 2.4 0.62 w08016_s_at EST 2.4 0.63 Msa.31925.0_f_a EST 2.4 1.09 Msa.477.0_f_at Mouse mRNA for Mac-2 antigen 2.4 1.77 Msa.22422.0_s_a EST 2.3 1.09 y00964_s_at M. musculus mRNA for beta-hexosaminidase 2.3 1.01 M12481_M_st Mouse cytoplasmic beta-actin mRNA 2.3 0.59 x62743_s_at M. musculus Mb mRNA 2.3 1.29 Msa.5619.0_s_at EST 2.3 1.04 Msa.2614.0_at Mouse mRNA for properdin (AA 5-441) 2.3 0.51 Msa.2476.0_at Murine MyD88 mRNA induced by interleukin-6 2.3 1 Msa.38948.0_s_a EST 2.3 1.04 Msa.5595.0_s_at EST 2.2 0.43 x59379_s_at mRNA for amyloid beta precursor (protease nexin II) 2.2 1.09 Msa.39606.0_s_a mRNA for amyloid beta precursor (protease nexin II) 2.2 0.6 x04648_s_at Mouse mRNA for IgG1/IgG2b Fc receptor (FcR) 2.2 0.76 x75129_s_at (129/Sv) gene for xanthine dehydrogenase, exon 1 2.2 1.01 y07711_s_at M. musculus mRNA for zyxin 2.2 1.04 Msa.61.0_f_at Mouse acrogranin mRNA 2.2 1.35 Msa.1178.0_s_at Mouse spi2 proteinase inhibitor (spi2/eb1) mRNA, 3′ end 2.2 1.61 Msa.41995.0_s_a EST 2.2 0.82 Msa.465.0_f_at Mouse complement C1q B chain mRNA 2.2 1.68 Msa.25029.0_s_a EST 2.1 0.45 Msa.547.0_f_at Mouse mRNA for major excreted protein (MEP) 2.1 0.32 w82380_s_at EST 2.1 0.66 x59769_s_at Mouse II-1r2 mRNA for type II interleukin-1 receptor 2.1 0.78 Msa.1055.0_s_at porphobilinogen deaminase (PBG deaminase) gene, exon 4 2.1 0.72 z27231_s_at M. musculus mRNA for type IV collagenase (gelatinase B) 2.1 0.52 y12650_s_at Gene encoding hereditary haemochromatosis-like protein 2.1 0.36 Msa.5142.0_s_at EST 2.1 0.48 w10325_s_at EST 2 0.78 Msa.1023.0_s_at EST 2 0.27 Msa.10058.0_s_a EST 2 1.22 Msa.37429.0_s_a EST 2 0.53 Z11911_s_at mRNA for glucose-6-phosphate dehydrogenase 2 1.11 x60304_at M. musculus mRNA for protein kinase C-delta 2 0.9 u96689_s_at Immunoglobulin-like receptor PIRB1 (7M5) 2 0.82 Msa.463.0_at Mus musculus bcl-2 alpha gene, exon 2 2 0.71 X15591_s_at Ctla-2-alpha homolog. to cysteine protease proregion 2 1.18 Msa.33501.0_f_a EST 2 0.65 Z46757_s_at M. musculus mRNA for high mobility group 2 protein −2 −0.58 x03151_s_at Mouse gene for Thy-1 antigen −2 −1.75 Msa.17042.0_f_a EST −2 −0.65 X65627_f_at M. musculus mRNA TNZ2 for p68 RNA helicase −2 −1.31 L36135_i_at Mouse mRNA for T-cell receptor delta-chain. −2 −0.58 x14799_s_at Autocrine thymic lymphoma cell mRNA for serine protease −2 −1.13 Msa.26042.0_s_a EST −2 −0.81 x75313_f_at M. musculus (C57BL/6) GB-like mRNA. −2 −1.75 x03040_f_at Mouse mRNA for initiation factor elF-4A long form −2 −1.26 Msa.136.0_s_at Common cytokine receptor gamma chain gene −2.1 −0.72 Msa.1606.0_f_at Mus musculus mRNA, complete cds −2.1 −1.2 v00727_s_at Mouse c-fos oncogene −2.1 −1.93 x12592_s_at Mouse mRNA of mkr3 gene encoding zinc finger protein −2.1 −0.46 x81987_f_at mRNA for TAX responsive element binding protein 107 −2.2 −2.19 Msa.869.0_f_at Mouse junD proto-oncogene mRNA, complete cds −2.2 −2.07 X51829_s_at Myeloid differentiation primary response mRNA −2.2 −1.35 Msa.2707.0_f_at EST −2.2 −2.37 Msa.1734.0_f_at EST −2.2 −2.37 Msa.29510.0_f_a EST −2.2 −0.73 Msa.27798.0_s_a EST −2.2 −0.16 Z83368_f_at M. musculus RPS3a gene −2.3 −2.87 Msa.1076.0_at Prim-1 proto-oncogene encoding pim-1 protein kinase −2.3 −2.59 Msa.2195.0_f_at Homology to yeast L29 ribosomal protein gene −2.3 −2.55 x96606_s_at M. musculus mRNA for Ott protein, clone ak27 −2.3 −0.13 Msa.778.0_f_at Mus musculus heat shock 70 protein (Hsc70) gene −2.3 −2.59 X52803_f_at Mouse mRNA for cyclophilin (EC 5.2.1.8) −2.4 −2.87 Msa.6292.0_s_at EST −2.4 −0.23 Msa.10769.0_at Homologous to RAS-RELATED PROTEIN RAB-7 −2.4 −0.32 Msa.12956.0_s_a EST −2.4 −0.7 Msa.10932.0_s_a Homologous to HEAT SHOCK PROTEIN HSP 90-ALPHA −2.4 −1.12 Msa.8059.0_s_at EST −2.5 −1.16 Msa.28725.0_f_a EST −2.6 −3.71 Msa.43204.0_i_at Mus musculus alpha-1 protease inhibitor 1 (alpha-1 Pl-1) −2.6 −0.37 Msa.1255.0_i_at Thyrotropin beta-subunit (TSH-beta) gene, exons 3 and 4 −2.6 −0.39 Msa.39913.0_f EST −2.7 −0.82 Msa.32149.0_f_a EST −2.7 −3.76 Msa.911.0_at Mouse liver receptor homologous protein (LRH-1) mRNA −2.7 −0.61 Msa.12361.0_s_a W54839 ma28g09.r1 Mus musculus cDNA, 5′ end −2.7 −0.81 Msa.1663.0_f_at Mus musculus 5E6 (5E6/Ly-49C)) mRNA, complete cds −2.7 −0.76 X05021_f_at mRNA with homology to yeast L29 ribosomal protein gene −2.7 −3.87 Msa.962.0_f_at EST −2.7 −4.17 Msa.1652.0_at Mouse filaggrin mRNA, 3′ end −2.7 −0.6 ET61037_f_at Mouse mRNA for TI-225, complete cds −2.8 −4.97 x60289_f_at M. musculus mRNA for ribosomal protein S24. −2.8 −5.16 Msa.2162.0_f_at Mouse mRNA for acidic ribosomal phosophoprotein PO −2.8 −4.7 Msa.24085.0_f_a EST −2.8 −4.43 Msa.17336.0_f_a EST −2.8 −4.02 Msa.22727.0_f_a EST −2.8 −3.08 W08025_at EST −2.8 −0.26 z32815_s_at M. musculus net mRNA. −2.9 −1.16 Msa.29918.0_f_a EST −2.9 −4.35 X15267_f_at Mouse mRNA for acidic ribosomal phosophoprotein PO −2.9 −4.94 X52634_f_at Murine tlm oncogene for tlm protein −3 −5.05 ET62689_at Mus musculus T cell receptor V-beta 8 mRNA, partial cds −3.1 −0.87 Msa.427.0_f_at Amy-2.1 gene encoding amylase isozyme A-1 exon 5 −3.1 −0.59 X15962_f_at Mouse mRNA for ribosomal protein S12 −3.1 −6.71 Msa.2412.0_f_at CALCIUM-TRANSPORTING ATPASE PLASMA MEMBRANE −3.1 −7.02 x14897_s_at Mouse fosB mRNA −3.1 −4.49 X00496_s_at Mouse la-associated invariant chain (li) mRNA fragment −3.1 −5.75 Msa.428.0_f_at mouse alpha-amylase-like gene, partial −3.2 −0.57 Msa.17018.0_f_a W83919 mf33f11.r1 Mus musculus cDNA, 5′ end −3.2 −8.27 X73331_f_at M. musculus mRNA for ribosomal protein L37a −3.2 −7.21 /M12481_M_at M12481 Mouse cyloplasmic beta-actin mRNA −3.2 −7.9 Msa.409.0_f_at Melanoma cell-derived intracisternal A-particle, gag gene −3.4 −3.87 Msa.40489.0_f_a EST −3.4 −6.96 X06407_f_at 21 kd polypeptide under translational control −3.4 −8.7 ET63529_at TcR alpha gene for T cell antigen receptor alpha-chain −3.5 −2.88 Msa.2906.0_f_at EST −3.5 −8.53 x16670_f_at Type IIB intracisternal A-particle element encoding integrase −3.5 −3.53 X51528_f_at Mouse gene for tum-transplantation antigen P198 −3.6 −8.04 Msa.34708.0_s_a EST −3.6 −3.11 M12481_5_at Mouse cytoplasmic beta-actin mRNA −3.7 −9.45 X51703_s_at Mouse mRNA for ubiquitin −3.8 −10.3 Msa.24150.0_s_a EST −3.8 −1.03 x15358_f_at Mouse mRNA for junD proto-oncogene −3.9 −7.66 Msa.6119.0_s_at EST −3.9 −1.12 Msa.1406.0_at Mus musculus zinc finger protein A20 (murine A20) mRNA −3.9 −3.64 x04120_f_at EST −4 −4.74 X14061_f_at EST −4 −10.3 Msa.43183.0_f_a Mouse L1Md-9 repetitive sequence −4.1 −6.5 ET61537_g_at B10.BR T-cell receptor alpha-chain precursor −4.1 −5.24 M26053_g_at T-cell receptor germline beta-chain gene constant region −4.1 −12 Msa.7608.0_s_at EST −4.2 −2.96 Msa.1312.0_f_at EST −4.3 −13.6 Msa.1236.0_f_at EST −4.5 −14 Msa.2707.0_i_at EST −5.1 −8.37 MURINE_B2_at EST −5.1 −16.5 v00714_f_at Mouse gene for alpha-globin −5.5 −16.4 v00718_s_at Messenger RNA for mouse pancreatic alpha-amylase −5.6 −2.41 x13588_s_at Murine crp gene for C-reactive protein −5.8 −2.19 M12481_3_at Cytoplasmic beta-actin mRNA −5.8 −19.9 x61433_s_at Sodium/potassium ATPase beta subunit −9.4 −6.58 X68670_s_at Terminal deoxynucleotidyltransferase (TdT) −9.8 −5.67 X61385_s_at T-cell specific transcription factor −9.9 −9.03 Msa.19552.0_s_a EST −66.4 −44.3

[0247] Naïve and memory B6.2.16 CD8 cells were purified as described in the Materials and Methods. cRNA was hybridized with Affymetrix Gene Chips (Mu11KA and Mu11KB). The difference in expression level of a gene between Memory and Naïve CD8 cells was evaluated by Fold Change and Sort Score, which are listed in descending order showed in Table 2 and Table 3. Genes with a Memory/Naïve ratio ≧2.0 and a sort score ≧1.0 were considered to be significantly up-regulated in memory cells.

[0248] Infection of wild-type mice with LCMV Armstrong results in a vigorous CTL response, which clears the virus and gives rise to a stable pool of anti-LCMV memory CD8 cells (Lau et al., 1994; Murali-Krishna et al., 1998). To validate the physiological relevance of the candidate genes up-regulated in B6.2.16 memory CD8 cells, studies were conducted to determine whether they were also up-regulated in memory CD8 cells after infection with LCMV. Wild-type C57BL/6 mice were infected with LCMV Armstrong to generate effector CD8 cells (E) after 8 days or memory CD8 cells (M) after 80 days or more (Lau et al., 1994). Anti-LCMV CD8 cells were purified from the spleen by FACS using H-2D b-tetramers loaded with three immunodominant LCMV antigen peptides and anti-CD8 antibody (FIG. 13A) (Murali-Krishna et al., 1998). Naïve CD8 cells (N) were purified directly from the spleens of un-infected C57BL/6 mice by FACS based on CD44^(low)CD8⁺ staining (FIG. 13A). Two separate isolates of RNA from effector and memory cells were purified from two independent LCMV infections, while RNA of naïve cells was from two different isolations. Real-time PCR was used to determine the relative difference in expression of mRNA for a given gene between CD8 populations (FIG. 13B) (Medhurst et al., 2000).

[0249] Eight of the forty three candidate genes that were up-regulated in B6.2.16 CD8 memory cells were also up-regulated in anti-LCMV memory cells (FIG. 13B, Table 4, and Table 5). TABLE 4 Real-Time PCR Analysis of Differential Gene Expression in CD8 Cell Populations. Accession Memory Memory Effector Number Gene Naive Effector Naive Function U06948 Fas L 22 (4) 2 10 Effector molecule M64085 Spi2A 18 (2) 2 9 Anti-apoptosis D83648 CCR5 10 (4) −2 15 Cell migration M12302 Grn B  9 (3) −24 211 Effector molecule AA542220 LITAF  4 (2) nsd 5 Transcription factor U57325 PS2  3 (2) nsd nsd Anti-apoptosis U19482 CCL9  3 (5) nsd nsd Cell migration M18466 Ly6C  2 (3) 2 nsd Cell adhesion

[0250] Table 4 demonstrates the relative level of gene expression in FACS purified naïve, effectors (8 d post infection) and memory (≧80 d post infection) CD8 cells from FIG. 13A. The data is from two independent experiments from FIG. 13B. For the memory/naïve comparison, the relative level of expression from DNA array analysis of B6.2.16 CD8 cells is given in parenthesis. No statistical difference in mRNA levels between populations is indicated as nsd. TABLE 5 Relative Expression of Candidate Genes in Memory Compared to Naive CD8 cells Memory/Naive Accession Number Gene B6.2.16 CD8 Anti-LCMV CD8 AA165775 ATP-binding cassette protein 43 b.r.d. AA199380 Similar to ATP-binding cassette protein 32 −1.3 W29434 Similar to interferon-inducible 1-8D protein 28 b.r.d. AA415898 Interferon-inducible GTPase 27 b.r.d. AA617493 Endoplasmic reticulum protein 29 24 −1.8 AA542220 LPS-induced TNF activating factor (LITAF) 21 3.0 J05261 Mouse protective protein 16 1.1 X62742 H-2DM 16 −1.2 AA711915 Similar to jun dimerization protein 14 b.r.d. AA474495 Similar to NADH-cytochrome B5 reductase 12 −1.2 AA575696 Similar to sorting nexin 1 11 1.1 U43085 Glucocortoid-attenuated response gene 39 11 −1.5 U59807 Cystatin B 11 1.1 AA288280 Cathespin C 8.0 1.1 AA472322 Sorting nexin 5 7.9 −1.6 X56602 Interferon-inducible 15-kDa protein 7.9 1.0 U72643 Lymphocyte specific transcript 7.2 b.r.d. AI892501 Similar to cathepsin Z 7.2 1.0 AA260827 Similar to hypothetical protein FLJ20378 7.0 1.0 AA277739 Ubiquitin specific protease 14 6.9 −1.8 W18601 Similar to cytochrome c oxidase Vb subunit 6.7 −1.1 U86137 Telomerase protein-1 6.6 −3.5 X61800 C/EBP delta 6.6 b.r.d. U19482 CCL9 5.4 1.7 X03479 Serum amyloid A3 4.9 1.0 AA182189 Spi-C 4.9 b.r.d. X54966 Cathepsin B 4.8 1.0 D14566 TAP 1 4.8 1.2 D83648 CCR5 4.4 8.5 U06948 Fas L 4.3 18 X06746 Krox-20 3.8 −2.0 U56773 Pelle-like protein kinase 3.4 1.0 Z49877 Syk 3.3 b.r.d. X04972 MnSOD 3.2 −1.3 M59470 Cystatin C 3.1 −1.4 M18466 Ly6C.2 2.9 1.7 M12302 Granzyme B 2.8 9.4 U88908 Inhibitor of apoptosis 1 2.6 −2.2 X59379 Amyloid Beta precursor 2.2 −2.0 M64085 Serine protease inhibitor 2A (Spi2A) 2.2 22 U57325 Presenillin 2 short 2.2 3.6 L31532 Bcl-2 2.1 1.3 M63695 CD1.1 2.1 −1.3

[0251] In Table 5, naïve and memory CD8 cells expressing either anti-HY transgenic TCR B6.2.16 or endogenous TCRs specific for LCMV were purified as described in the Materials and Methods. For a given gene, the ratio of mRNA levels in memory/naïve cells is listed in descending order. For B6.2.16 CD8 cells, the expression level is from DNA array analysis and for anti-LCMV CD8 cells, the expression level is the mean ratio from real-time PCR analysis of CD8 cells from two independent experiments (FIG. 13B; Table 4). The expression of some candidate genes, which were apparently up-regulated in memory B6.2.16 CD8 cells was below the reliable detection level (b.r.d.) by real-time PCR in naïve and anti-LCMV memory CD8 cells indicating that amplification of these genes did not reach the exponential phase during the standard 40 cycle real-time PCR run. In addition, when analyzed by real-time PCR, the expression of many candidate genes, which were higher in memory B6.2.16 CD8 cells, were no higher in anti-LCMV memory cells. The discrepancies between the expression levels of these genes in B6.2.16 CD8 memory and anti-LCMV memory in this study, and with the findings of others (Grayson et al., 2001; Grayson et al., 2000; Kaech et al., 2002), may be due to a variety of factors. These may include differences in the type of antigenic stimulation, the purity of CD8 cell populations, and whether the analysis was performed on cells expressing transgenic or endogenous TCRs. Several candidate genes were up-regulated in anti-LCMV memory CD8 cells. Candidate genes that were not up-regulated in anti-LCMV memory CD8 cells (M/E mRNA ratio <1.7) were excluded from further consideration. Some candidate genes (8) had an expression level that was below the reliable detection limit by real-time PCR and so were also excluded to avoid misleading apparent differences in expression between CD8 populations (Marrack et al., 2000).

[0252] Several genes identified by our two-stage screen have also been found by others to be up-regulated in memory CD8 cells (Grayson et al., 2001; Kaech et al., 2002). These include CTL-specific genes such as the effector molecules granzyme B and Fas L (Russell and Ley, 2002), the memory cell marker gene Ly6C (Walunas et al., 1995) and the chemokine receptor gene C—C chemokine receptor 5 (CCR5) (Bleul et al., 1997)(FIG. 13B, Table 4). To determine whether the apparent increase in expression level of candidate genes in anti-LCMV memory CD8 cells was due to contamination with non-T cells, real-time PCR was performed to detect the expression of the class II MHC gene I-A_(α) ^(b) (MHC II). There was no difference in the expression of MHC II between populations of FACS-purified CD8 cells (FIG. 13B). Therefore, the two-stage assay allowed identification of genes that were up-regulated in physiologically relevant memory CD8 cells.

[0253] These analyses allowed for the identification of other genes not previously known to be up-regulated in memory CD8 cells (Table 5). Two criteria were used for selecting a candidate for a protective gene in memory CD8 cell differentiation—correlation of gene expression with memory cell development and anti-apoptotic function. Of the genes examined, FasL and Spi2A were up-regulated to the greatest extent during the development of naïve to memory cells. Importantly, the up-regulation of both these genes also correlated with the differentiation of CTLs into memory cells (Table 2). However, of the two, only Spi2A can protect against PCD, whereas FasL is a well known initiator of PCD (Kagi et al., 1994b; Liu et al., 2003). The possibility that the up-regulation of an anti-apoptotic, dominant-negative form of FasL in memory CD8 cells (Chinnaiyan et al., 1996) was detected cannot be discounted. However, this is unlikely given the previous finding that the Fas-FasL pathway of death plays no role in PCD during anti-LCMV memory CD8 cell development (Razvi et al., 1995). As with granzyme B, the expression of FasL renders memory CD8 cells capable of using effector pathways of PCD to directly kill infected cells (Russell and Ley, 2002). This suggests that the up-regulation of Spi2A in CTLs facilitates the escape of memory cell precursors from PCD.

[0254] A model to evaluate the role of Spi2A in memory CD8 cell development. To directly test whether the up-regulation of Spi2A facilitates the differentiation of memory CD8 cells, Spi2A expression in CD8 cells was modulated after infection with LCMV. Recombinant retroviruses allowed for both the elevatation and knock-down of the expression of Spi2A mRNA in CD8 cells after infection with LCMV.

[0255] Bone marrow progenitor cells from C57BL/6 mice were transduced with a retrovirus encoding both Spi2A and green fluorescent protein (GFP) on a polycistronic mRNA (Liu et al., 2003; Zang and Ren, 1998). Bone-marrow chimeras harboring empty vector (GFP mice) or retrovirus encoding Spi2A (Spi2A mice) were generated after the adoptive transfer of transduced bone-marrow into lethally irradiated C57BL/6 CD8-deficient mice (Fueng-Leung et al., 1991). It has been shown that the expression of anti-sense Spi2A mRNA abrogates the NF-κB-dependent, up-regulation of endogenous Spi2A mRNA (Liu et al., 2003). To generate CD8 cells in which Spi2A could be upregulated, bone-marrow chimeras that expressed anti-sense Spi2A mRNA encoded by retrovirus (Spi2A-A mice) were created.

[0256] The efficiency of bone-marrow transduction and subsequent engraftment was no different for any of the retroviruses (Table 6). TABLE 6 Generation of Bone Marrow Chimeras Transduced with Retrovirus Peripheral Blood GFP-Positive Group % CD8 % B220 % GFP % CD8 % B220 GFP (n = 24) 4.45 ± 0.26 47.99 ± 3.01 39.51 ± 4.01 4.46 ± 0.17 39.72 ± 2.49 (1.77-7.53) (17.8-66.1) (2.01-64.7) (2.55-6.48) (12.0-61.0) Spi2A (n = 21) 4.47 ± 0.19 45.48 ± 2.92 33.17 ± 3.96 4.76 ± 0.15 32.33 ± 3.6 (2.16-5.85) (18.6-64.8) (1.19-69.7) (3.26-6.03) (8.31-56.7) Spi2A-A (n = 24) 4.71 ± 0.37 39.39 ± 3.90 40.29 ± 4.24 4.75 ± 0.24 33.99 ± 3.72 (1.97-6.31) (10.9-66.8) (1.36-71.8) (3.10-6.84) (6.75-60.8)

[0257] Wild-type C57BL/6 bone-marrow, which had been transduced with retrovirus, was adoptively transferred into lethally irradiated (1200 rads) C57BL/6 CD8-deficient mice (1.5-2.0×10⁶ cells/mouse). After 8 weeks, PBLs were analyzed for the engraftment of retrovirally-transduced (GFP-positive) B lymphocytes (B220-positive) and CD8 cells. The level of CD8 cells in C57BL/6 CD8-deficient mice was below the level of detection by FACS (<0.1% of PBLs). The mean percentage±SEM of each lymphocyte population and the range in parenthesis are indicated. The mean level of CD8 cells in C57BL/6-deficient bone-marrow chimeras was about 50% of the level in age-matched wild-type C57BL/6 mice [8.36+0.41% (8.07-8.94%)], whereas the level of B cells was comparable [44.5+1.47% (40.4-47.7%)]. There was no significant difference in the level of CD8 cells and B cells in retrovirally-transduced PBLs (GFP-positive) between different experimental groups of chimeras.

[0258] After 8 weeks, the level of CD8 cells in PBLs of C57BL/6 CD8-deficient chimeras was about 50% of the wild-type C57BL/6 control level. Of the population of transduced PBLs (GFP-positive), there was no difference in the percentage of CD8 cells between GFP, Spi2A or Spi2A-A mice (Table 6). Therefore, the expression of sense or anti-sense Spi2A in bone-marrow progenitors did not affect the development or homeostasis of naïve CD8 cells. GFP⁺CD8⁺ cells from the spleens of Spi2A and Spi2A-A mice were purified eight days after infection with LCMV (FIG. 14A). Real-time PCR analysis revealed a significant increase of Spi2A mRNA in CD8 cells from Spi2A mice (FIG. 14B). Importantly, the expression of anti-sense Spi2A knocked-down the expression of endogenous Spi2A mRNA in CD8 cells after infection with LCMV (FIG. 14B). These results indicate that expression of retroviral-encoded Spi2A sense and anti-sense mRNA modulates the expression of Spi2A mRNA in LCMV-specific CTLs.

[0259] Spi2A determines the level of antigen-specific CD8 cells after infection with LCMV. Programmed cell death is critical in determining the level of antigen-specific CD8 cells after infection and the resulting level of antigen-specific memory CD8 cells. Spi2A encodes an inhibitor of PCD and is up-regulated in memory CD8 cells. Therefore, Spi2A may facilitate the development of memory CD8 cells by protecting memory cell precursors from PCD after infection. Modulation of Spi2A expression in CD8 cells has a critical affect on the level of anti-LCMV CD8 cells before and during the memory phase.

[0260] Bone-marrow chimeras transduced to the same extent with each of the recombinant retroviruses (10-35% GFP positive of PBLs) and all reconstituted to 50% of wild-type C57BL/6 level of CD8 cells, were infected and the percentage of LCMV-specific CD8 cells determined by staining PBLs with H-2 Db-tetramers loaded with LCMV antigen peptides.

[0261] As has been previously observed, when wild-type C57BL/6 were infected with LCMV (2×10⁵ pfu/mouse), a peak number of anti-LCMV CD8 cells in PBLs was observed after 8 days (FIG. 15) (Murali-Krishna et al., 1998).

[0262] In the representative experiment in FIG. 16A, infection of GFP control chimeras, which harbored 50% of wild-type CD8 levels (FIG. 15), resulted in a rapid expansion of anti-LCMV CD8 cells, and a peak level after 14 days. The expression of recombinant Spi2A did not increase the level of anti-LCMV CD8 cells during the initial expansion phase, nor did it affect the magnitude of the peak response in Spi2A mice. However, during the ensuing contraction phase, a considerable increase in the level of anti-LCMV CD8 cells in Spi2A mice was observed, resulting in an elevated level of anti-LCMV CD8 cells during the memory phase, which was stable for at least 14 weeks (FIG. 16A; FIG. 17). In Spi2A mice, normalization of the residual level as a percentage of the maximum level revealed a significant reduction in the severity of contraction in anti-LCMV CD8 cell levels (FIG. 16B; FIG. 18). The level of anti-LCMV CD8 cells, measured as a percentage of the total GFP⁺CD8⁺ cell population in PBLs, was also significantly elevated in Spi2A mice (FIG. 16C). Therefore, the expression of Spi2A specifically increased the levels of antigen-specific CD8 cells. In the bone-marrow chimeras, recombinant retrovirus is expressed in leucocytes other than CD8 cells (Table 6). However, no difference in the number of GFP-negative, anti-LCMV CD8 cells in Spi2A mice (FIG. 16D) was observed. Therefore, any modulation of Spi2A expression that occurred in GFP-positive leucocytes other than CD8 cells did not affect the levels of virus-specific CD8 cells. Overall, these results indicate that the expression of Spi2A in CD8 cells alleviates the severity of the contraction phase of anti-LCMV CD8 cells giving rise to an increase in the level of virus-specific cells in the memory phase.

[0263] To determine the physiological relevance of Spi2A to memory CD8 cell development, the effect of abrogating Spi2A up-regulation on the response of CD8 cells to LCMV infection was examined. Knockdown of Spi2A mRNA expression in CTLs by anti-sense message resulted in both a reduced peak level (FIG. 16A; FIG. 17) and a more severe contraction phase, as evidenced by a lower normalized residual level (FIG. 16B; FIG. 18). Thus, the level of anti-LCMV CD8 was diminished throughout the contraction and resulting memory phases (FIG. 17). It can be concluded that Spi2A determines both the peak level and the severity of the contraction phase of anti-LCMV CD8 cells. It has been long recognized that after an immune response PCD is a force limiting the number of antigen-specific CD8 cells (Ahmed and Gray, 1996). Therefore, consistent with a role as an inhibitor of PCD (Liu et al., 2003), these results indicate that the up-regulation of Spi2A is required to protect CTLs from PCD during memory CD8 cell development.

[0264] Spi2A determines the number of anti-LCMV memory CD8 cells. A characteristic of memory CD8 cells is their ability to immediately respond to re-stimulation with antigen, long after the primary exposure to antigen. To examine the role of Spi2A in the development of long-term memory cells, this phenotypic definition was used to quantitate the number of memory CD8 cells in the spleens of the recombinant retroviral bone-marrow chimeras after infection with LCMV. Modulation of Spi2A expression in CD8 cells had a significant effect on the numbers of anti-LCMV CD8 memory cells.

[0265] Typically, anti-LCMV-memory CD8 cells are capable of generating cytokines, such as interferon-γ (IFN-γ) within five hours of stimulation with antigen-peptides (Murali-Krishna et al., 1998). This assay was used to define and quantitate the memory CD8 cells (IFN-γ⁺ CD8) that persisted in the spleen seventy-five or more days after infection with LCMV (FIG. 19). Expression of Spi2A increased the percentage (FIG. 19 and FIG. 20A) and absolute number (Table 7) of anti-LCMV CD8 cells in Spi2A mice in two independent experiments. TABLE 7 Number of Anti - LCMV CD8 Cells in the Spleen After Infection of Bone Marrow Chimeras Number of anti-LCMV Time of CD8 cells per infection (d) spleen (×10⁻⁵) Exp. Chimera Primary Secondary GFP⁺ GFP⁻ 1 GFP 101 n/a  2.57 ± 0.23  2.48 ± 0.38 (n = 6) Spi2A 101 n/a  7.69 ± 0.94 (199%)  2.79 ± 0.12 (n = 6) Spi2A-A 101 n/a  0.88 ± 0.12 (−66%)  2.56 ± 0.24 (n = 5) 2 GFP 75 n/a  4.12 ± 0.55  5.02 ± 0.67 (n = 3) Spi2A 75 n/a  8.66 ± 1.03 (110%)  5.07 ± 0.68 (n = 3) Spi2A-A 75 n/a  1.74 ± 0.14 (−57%)  5.35 ± 0.20 (n = 6) 3 GFP 60 5  22.35 ± 4.40 37.77 ± 5.67 (n = 4) Spi2A 60 5 115.71 ± 26.13 (417%) 45.94 ± 7.55 (n = 4) Spi2A-A 60 5  4.39 ± 1.28 (−80%) 39.26 ± 6.57 (n = 4)

[0266] C57BL/6 CD8 deficient mice were reconstituted with bone marrow progenitors that had been transduced by retroviruses encoding GFP alone (GFP), Spi2A in the sense (Spi2A) or antisense (Spi2A-A) orientation in polycistronic messages with GFP, then infected with LCMV. Absolute cell numbers were determined for the splenocytes that were either transduced (GFP⁺) or not transduced (GFP⁻). The data in experiments 1 and 3 are further described in FIG. 20. The cell numbers are the mean values (±SEM) from the analysis of individual infected mice (n=number of mice analyzed). The numbers in parenthesis indicate the proportional change of anti-LCMV CD8 cells compared to the GFP control in each experiment. In experiments 1 and 2 mice were infected only once and so the time after the secondary infection is not applicable (n/a).

[0267] In addition, the effect of Spi2A was specific for antigen-specific CD8 cells (FIG. 20B). There was no difference in the number of GFP-negative, memory CD8 cells in Spi2A mice compared to GFP controls after infection with LCMV (FIG. 20C). Therefore, any modulation in Spi2A expression that may have occurred in non-CD8 cells in the bone-marrow chimeras was not responsible for the differences observed in memory CD8 cell recovery.

[0268] To verify that the development of memory CD8 cells facilitated by Spi2A was not due to over expression, the effect of suppressing the up-regulation of Spi2A by anti-sense message in Spi2A-A mice was examined. A significant decrease in both the percentage (FIG. 19 and FIG. 20A) and absolute number (Table 7) of anti-LCMV memory CD8 cells from Spi2A-A mice in two independent experiments was observed. Overall, it can be concluded that the up-regulation of Spi2A in CD8 cells is a physiological mechanism for facilitating the development of long-term memory CD8 cells.

[0269] Spi2A affects the potency of recall responses to LCMV. The robust secondary recall response to antigen is a characteristic of the memory phase of an immune response, and is determined by both the number and phenotype of memory T cells (Ahmed and Gray, 1996). To further examine the role of Spi2A in the development of memory CD8 cells, recall responses to LCMV in the retroviral bone-marrow chimeras were examined. As with the development of primary memory CD8 cells, Spi2A had a dramatic effect on the recall response of CD8 cells to re-infection with LCMV.

[0270] Mice were infected with LCMV to generate primary memory CD8 cells. After sixty days mice were re-challenged with LCMV and the recall response measured in the spleen five days later by determining the frequency of LCMV-reactive CD8 cells in ex vivo IFN-γ production assays (FIG. 19). As expected, re-challenge of control primary memory CD8 cells (GFP-negative) with LCMV, resulted in about a 10-fold increase in anti-LCMV CD8 cells (Blattman et al., 2000; Lin and Welsh, 1998) (Table 7). The percentages and absolute numbers of secondary anti-LCMV CD8 cells were significantly increased in Spi2A mice (FIG. 19, FIG. 20D and Table 7). In addition, the effect of Spi2A was specific for antigen-specific CD8 cells (FIG. 20E). There was no difference in the number of GFP-negative, secondary anti-LCMV CD8 cells in Spi2A mice (FIG. 20F). Therefore, any modulation in Spi2A expression in non-CD8 cells was not responsible for the effects of Spi2A on CD8 cell recall responses.

[0271] Importantly, abrogation of Spi2A up-regulation severely diminished recall responses to LCMV in Spi2A-A mice (FIG. 19, FIG. 20D and Table 7). Therefore Spi2A was a physiologically relevant determinant of CD8 cell recall responses to LCMV. Since the magnitude of recall responses is determined by both the number and phenotype of memory CD8 cells, these findings point to a critical role for Spi2A in determining CD8 cell memory to virus.

EXAMPLE 4 Assays to Identify Spi2A Polypeptide Equivalents

[0272] Using the teachings of the specification and the knowledge of those skilled in the art, one can conduct assays to identify Spi2A polypeptide equivalents. The term “Spi2A polypeptide equivalent” has been previously defined in this specification. A plurality of distinct proteins/polypeptides/peptides with different substitutions can be easily made and used in accordance with the invention. The Spi2A polypeptide equivalent can be a polypeptide from any species or organism, including a human polypeptide. In addition, the Spi2A polypeptide equivalent can be naturally occurring or synthetic polypeptide. One of ordinary skill in the art would understand that many Spi2A polypeptide equivalents would likely exist in the art and can be identified using commonly available experimental techniques. For instance, screening of libraries of known amino acid sequences can be analyzed for comparison to SEQ ID NO:2. Experimental techniques known to those of ordinary skill in the art can be used to synthesize polypeptides wherein certain, not most or all, of the amino acids of Spi2A have been substituted. One method will be to express, in E. coli, recominant genes encoding a fusion polypeptide between a peptide of 6 histadines (His peptide) and Spi2A polypeptide or equivalent polypeptide using the pET™ (Novaegen) expression cassette. These fusion polypeptides will be purified on nickel columns and the His peptide removed by protease clevage. This method can be used to generate TAT-Spi2A polypeptides or equivalent polypeptides.

EXAMPLE 5 Testing of Spi2A Polypeptide Equivalents

[0273] Using the teachings of the specification and the knowledge of those skilled in the art, one can conduct tests to determine whether Spi2A polypeptide equivalents can protect against both the caspase-dependent and caspase-independent pathways of cell death. For instance, it can be determined whether Spi2A polypeptide equivalents can inhibit cathepsin B activity after treatment of RelA^(+/+) MEFs with TNF-α. In addtion Spi2A polypeptide equivalents can be screened for the ability to inhibit cysteine proteases in in vitro assays. For example, the Spi2A polypeptide equivalents that one can evaluate for cathepsin B inhibition may include polypeptides based on the amino acid sequence of the human serpins discussed above (i.e., SEQ ID NO:3, SEQ ID NO:4, SEQ ID NO:5, SEQ ID NO:6, SEQ ID NO:7, SEQ ID NO:8, and SEQ ID NO:9).

EXAMPLE 6 In vivo Prevention of Tumor Development Using Spi2A Polypeptides and Spi2A Polypeptide Equivalents

[0274] Using the teachings of the specification and the knowledge of those skilled in the art, in vivo studies can be conducted to determine the ability of Spi2A polypeptides and Spi2A polypeptide equivalents to inhibit cancer in murine models of human cancer. In an initial round of in vivo trials, a mouse model of human cancer with histologic features and metastatic potential resembling those of tumors seen in humans (Katsumata et al., 1995) can be used. The animals may be treated with Spi2A polypeptides and/or Spi2A polypeptide equivalents of the present invention to determine the suppression of tumor development.

[0275] For example, Spi2A polypeptides and Spi2A polypeptide equivalents can be tested in vivo for antitumor activity against murine leukemia cell lines L1210, P388, or any other murine model of cancer known to those of skill in the art. In conjunction with these studies, the acute and sub-acute toxicities in mice may typically be studied (LD10, LD50, LD90). In a more advanced phase of testing, the antitumor activity of Spi2A polypeptides and Spi2A polypeptide equivalents against human xenografts can be assessed and cardiotoxicity studies can be done in a rat or rabbit model.

[0276] In brief, two groups of mice of a suitable cancer model can be treated with doses of Spi2A polypeptides and/or Spi2A polypeptide equivalents. Several combinations and concentrations of Spi2A polypeptides or Spi2A polypeptide equivalents can be tested. Control mice should be treated with buffer only.

[0277] The effect of Spi2A polypeptides and/or Spi2A polypeptide equivalents on the development of cancer in treated mice versus a control group can then be compared by examination of tumor size and histopathologic examination of hematoxylin and eosin stained tumor tissue.

EXAMPLE 7 Treatment of Myocardial Infarction in Human Subjects Using Spi2A Polypeptides and Spi2A Polypeptide Equivalents

[0278] Using the teachings of the specification and the knowledge of those skilled in the art, one can design protocols that can be used to facilitate the treatment of acute myocardial infarction in human subjects using Spi2A polypeptides or Spi2A polypeptide equivalents. For example, a patient presenting with signs and symptoms clinically consistent with an acute myocardial infarction may be treated using the following protocol.

[0279] A composition of the present invention can be typically administered orally or parenterally in dosage unit formulations containing standard, well known non-toxic physiologically acceptable carriers, adjuvants, and vehicles as desired. The term parenteral as used herein includes subcutaneous injections, intravenous, intramuscular, intra-arterial injection, or infusion techniques. The Spi2A polypeptide or Spi2A polypeptide equivalent can be delivered to the patient alone or indeed in combination with other therapies for myocardial infarction. Where a combination therapy is contemplated, the Spi2A polypeptide or Spi2A polypeptide equivalent can be administered before, after or concurrently with the agents. Therapy can be administered before, after, or concurrently with cardiac catheterization or angioplasty.

[0280] For example, a treatment course can comprise about six doses delivered over a 1 to 6 day period. Upon election by the clinician the regimen may be continued at a more or less frequent basis. Of course, these are only exemplary times for treatment, and the skilled practitioner can readily recognize that many other time-courses are possible.

[0281] In one embodiment, administration may simply entail injection of the therapeutic composition intravenously. In another embodiment, a catheter can be inserted into the body and the heart is continuously perfused for a desired period of time.

[0282] Clinical responses can be defined by any acceptable measure known to those of skill in the art. For example, a complete response may be defined by improvement in cardiac function based on clinical studies well-known to those of ordinary skill in the art. Those of skill in the art can take the information disclosed in this specification and optimize the treatment regimes.

EXAMPLE 8 Treatment of Septic Shock in Human Subjects Using Spi2A Polypeptides and Spi2A Polypeptide Equivalents

[0283] Using the teachings of the specification and the knowledg of those skilled in the art, one can design protocols to facilitate the treatment of septic shock in human subjects using Spi2A polypeptides or Spi2A polypeptide equivalents. For example, a patient presenting with signs and symptoms clinically consistent with septic shock may be treated using the following protocol.

[0284] A composition of the present invention can be administered orally or parenterally in dosage unit formulations containing standard, well known non-toxic physiologically acceptable carriers, adjuvants, and vehicles as desired. The term parenteral as used herein may include subcutaneous injections, intravenous, intramuscular, intra-arterial injection, or infusion techniques. The Spi2A polypeptide or Spi2A polypeptide equivalent can be delivered to the patient alone or indeed in combination other therapies for septic shock, such as parenteral antibiotics. Where a combination therapy is contemplated, the Spi2A polypeptide or Spi2A polypeptide equivalent can be administered before, after or concurrently with the other agents.

[0285] For example, a treatment course may comprise about six doses delivered over a 7 to 21 day period. Upon election by the clinician the regimen may be continued at a more or less frequent basis. Of course, these are only exemplary times for treatment, and the skilled practitioner can readily recognize that many other time-courses are possible.

[0286] Administration entails injection of the therapeutic composition intravenously or by other methods known to those of skill in the art. The criteria for selecing patients and protocol of adminisration would be as described the severe sepsis drug Xigris (Sollet and Garber, 2002; Laterre and Heiselman, 2002)

[0287] Clinical responses may be defined by improvement in clinical outcome well-known to those of ordinary skill in the art. These may include the restoration of normal blood pressure and a decrease in patient morbidity. Those of skill in the art can take the information disclosed in this specification and optimize the treatment regimes.

EXAMPLE 9 Treatment of Cancer in Human Subjects Using Spi2A Polypeptides and Spi2A Polypeptide Equivalents

[0288] This example describes an example of a protocol to facilitate the treatment of human cancer patients using Spi2A polypeptides or Spi2A polypeptide equivalents. Patients may, but need not, have received previous chemo- radio- or gene therapeutic treatments. Optimally the patient may exhibit adequate bone marrow function (defined as peripheral absolute granulocyte count of >2,000/mm3 and platelet count of 100, 000/mm3, adequate liver function (bilirubin 1.5 mg/dl) and adequate renal function (creatinine 1.5 mg/dl).

[0289] The compositions can include one or more Spi2A polypeptides or Spi2A polypeptide equivalents that may be administered parenterally in dosage unit formulations containing standard, well known non-toxic physiologically acceptable carriers, adjuvants, and vehicles as desired. The term parenteral as used herein can include subcutaneous injections, intravenous, intramuscular, intra-arterial injection, or infusion techniques. The composition may be administered directly into the tumor vasculature may be delivered to the patient alone or indeed in combination with other therapies. Where a combination therapy is contemplated, the composition may be administered before, after or concurrently with the other anti-cancer agents.

[0290] In one example, a treatment course can comprise about six doses delivered over a 7 to 21 day period. Upon election by the clinician the regimen may be continued six doses every three weeks or on a less frequent (monthly, bimonthly, quarterly etc.) basis. Of course, these are only exemplary times for treatment, and the skilled practitioner can readily recognize that many other time-courses are possible.

[0291] In one embodiment, administration may entail injection of the therapeutic composition into the tumor. In another embodiment, a catheter can be inserted into the site of the tumor and the cavity may be continuously perfused for a desired period of time.

[0292] Clinical responses can be defined by acceptable measures known to those of skill in the art. For example, a complete response may be defined by the disappearance of all measurable disease for at least a month. Whereas a partial response may be defined by a 50% or greater reduction of the sum of the products of perpendicular diameters of all evaluable tumor nodules or at least 1 month with no tumor sites showing enlargement. Similarly, a mixed response may be defined by a reduction of the product of perpendicular diameters of all measurable lesions by 50% or greater with progression in one or more sites. Those of skill in the art can take the information disclosed in this specification and optimize the treatment regimen.

EXAMPLE 10 Methods of Preparation of Donor Granulocytes for Delivery to a Subject in Need of a Granulocyte Donation

[0293] As discussed in the specification above, some embodiments of the present invention may pertain to use of Spi2A polypeptides and Spi2A polypeptide equivalents in the preparation of donor granulocytes. For example, one can prepare donor granulocytes by obtaining donor granulocytes from a suitable donor by means commonly known to those of skill in the art. The granulocytes can then be isolated using methods of granulocyte isolation well-known to those of skill in the art. Following isolation, the granultocytes can then be treated with a composition that includes one or more TAT-Spi2A polypeptides or TAT-Spi2A polypeptide equivalents.

[0294] In vitro studies can be conducted to compare survival of treated granulocytes to untreated controls. Blood can be collected from healthy donors which or may not have been treated with G-CSF to boost granulocyte numbers. Granulocytes can be purfied by leukapheresis and TAT-Spi2A polypeptides or TAT-Spi2A polypeptide equivalents added during storage to alleviate apoptosis and neutrophil function (Hubel et al., 2001). Additional studies can be conducted in human subjects. The subject in need can be a subject with any disease or condition known to be treated with donor granulocytes. Examples of such diseases and conditions include neutropenia (due to chemotherapy, radiotherapy, myelosuppressive drugs leukemia, idiopathic neutropenia or aplastic anemia (Hubel et al., 2001), neonatal sepsis, and diseases associated with a qualitative abnormality of neutrophils such as chronic granulomatous disease. In particular the invention can be of particular usefulness in the treatment of neutropenia due to dose-intensive chemotherapy, which is amenable to transfusion therapy but not other therapies (Liles et al., 1995). Clinical trials may be performed as described in Hubel et al., 2001. Typically, neutropenic patients may receive 10-15 transfusions with 4-17×10⁹ granulocytes/m², which may have been preserved with Spi2A or equivalents. The efficacy of the agent will be measured by determining the number and ex vivo function of transferred neutrophils in patients as well as the reduction in infection with bacteria or fungi.

EXAMPLE 11 Clinical Trials of the Use of Spi2A Polypeptides and Spi2A Polypeptide Equivalents in the Treatment of Diseases in General

[0295] This example is generally concerned with the development of human treatment protocols using the Spi2A polypeptides and Spi2A polypeptide equivalents in the treatment of diseases such as those previously discussed in this specification. In particular, such drug treatment can be of use in the clinical treatment of various diseases in which cell death and lysosomal instability play a role. Examples of these diseases include myocardial infarction, and septic shock. A more detailed example pertaining to cancer is discussed in the next example.

[0296] The various elements of conducting a clinical trial, including patient treatment and monitoring, will be known to those of skill in the art in light of the present disclosure. The following information can be used as a general guideline for use in establishing Spi2A polypeptides and Spi2A polypeptide equivalents in clinical trials.

[0297] Patients with the targeted disease can be newly diagnosed patients or patients with existing disease. Patients with existing disease may include those who have failed to respond to at least one course of conventional therapy.

[0298] The Spi2A polypeptide or Spi2A polypeptide equivalent may be administered alone or in combination with the another therapeutic agent. The agents may be administered intravenously, orally, topically, or by another mechanism that is specific to the disease that is being treated. If intravascular, the agent may be administed during the course of intravascular procedures such as cardiac catheterization or coronary angioplasty. The agent may also be administered intraoperatively. For example, the agent may be administered directly to the heart or coronary vasculature during the couse of coronary artery bypass grafting.

[0299] The starting dose may, for example, be 0.5 mg/kg body weight. Three patients may be treated at each dose level in the absence of a defined level of toxicity. Dose escalation may be done by 100% increments (e.g., 0.5 mg, 1 mg, 2 mg, 4 mg) until drug related toxicity of a specific level develops. Thereafter dose escalation may proceed by 25% increments. The administered dose may be fractionated.

[0300] The Spi2A polypeptide or Spi2A polypeptide equivalent may be administered over a short infusion time or at a steady rate of infusion over a period of days. The Spi2A infusion may be administered alone or in combination with other agents. The infusion given at any dose level will be dependent upon the toxicity achieved after each.

[0301] Physical examination, laboratory tests, and other clinical studies specific to the disease being treated may, of course, be performed before treatment and at intervals of about 3-4 weeks later. Laboratory studies can include CBC, differential and platelet count, urinalysis, SMA-12-100 (liver and renal function tests), coagulation profile, and any other appropriate chemistry studies to determine the extent of disease, or determine the cause of existing symptoms. If necessary, appropriate biological markers in serum can be monitored.

EXAMPLE 12 Clinical Trials of the Use of Spi2A Polypeptides and Spi2A Polypeptide Equivalents in the Treatment of Cancer

[0302] This example is concerned with the development of human treatment protocols using the Spi2A polypeptides and Spi2A polypeptide equivalents in the treatment of cancer. The various elements of conducting a clinical trial, including patient treatment and monitoring, will be known to those of skill in the art in light of the present disclosure. The following information can be used as a general guideline for use in establishing Spi2A polypeptides and Spi2A polypeptide equivalents in clinical trials pertaining to cancer treatment.

[0303] Patients with cancer chosen for clinical study will typically have failed to respond to at least one course of conventional therapy. Measurable disease is not required.

[0304] The Spi2A polypeptide or Spi2A polypeptide equivalent may be administered alone or in combination with the another chemotherapeutic agent. The administration may be intravenously, directly into the tumor, topically, or in any other manner known to those of skill in the art. The starting dose may be 0.5 mg/kg body weight. Three patients may be treated at each dose level in the absence of grade >3 toxicity. Dose escalation may be done by 100% increments (0.5 mg, 1 mg, 2 mg, 4 mg) until toxicity is detected. Thereafter dose escalation may proceed by 25% increments.

[0305] The Spi2A polypeptide or Spi2A polypeptide equivalent and/or anti-cancer agent combination may be administered over a short infusion time or at a steady rate of infusion over a 7 to 21 day period. The Spi2A infusion may be administered alone or in combination with the anti-cancer drug. The infusion given at any dose level will be dependent upon the toxicity achieved after each. Increasing doses of Spi2A in combination with an anti-cancer drug will be administered to groups of patients until approximately 60% of patients show unacceptable toxicity. Doses that are ⅔ of this value could be defined as the safe dose.

[0306] Physical examination, tumor measurements, and laboratory tests can, of course, be performed before treatment and at intervals of about 3-4 weeks later. Laboratory studies should include CBC, differential and platelet count, urinalysis, SMA-12-100 (liver and renal function tests), coagulation profile, and any other appropriate chemistry studies to determine the extent of disease, or determine the cause of existing symptoms. Also appropriate biological markers in serum can be monitored.

[0307] To monitor disease course and evaluate the anti-tumor responses, it is contemplated that the patients may be examined for appropriate tumor markers every 4 weeks, if initially abnormal. Laboratory studies such as a CBC, differential and platelet count, coagulation profile, and/or SMA-12-100 shall be performed weekly. Appropriate clinical studies such as radiological studies should be performed and repeated every 8 weeks to evaluate tumor response.

[0308] Clinical responses may be defined by acceptable measure. For example, a complete response may be defined by the disappearance of all measurable disease for at least a month. Whereas a partial response may be defined by a 50% or greater reduction of the sum of the products of perpendicular diameters of all evaluable tumor nodules or at least 1 month with no tumor sites showing enlargement. Similarly, a mixed response may be defined by a reduction of the product of perpendicular diameters of all measurable lesions by 50% or greater with progression in one or more sites.

EXAMPLE 13 Clinical Trials of the Use of Spi2A Polypeptides and Spi2A Polypeptide Equivalents in Treating Alzheimer Disease

[0309] This example is concerned with the development of human treatment protocols for the treatment and prevention of Alzheimer disease using the Spi2A polypeptides or Spi2A polypeptide equivalents developed in the present invention. For example, the Spi2A polypeptides or Spi2A polypeptide equivalents in this invention can be used to prevent amyloidosis, alone or in combination with other treatments for plaque related diseases.

[0310] The various elements of conducting a clinical trial, including patient treatment and monitoring, will be known to those of skill in the art in light of the present disclosure. The following information can be used as a general guideline for use in the treatment of amyloidosis, alone or in combination with other drugs in clinical trials.

[0311] Patients with an amyloidogenic disease or at risk of contracting such a disease can be chosen for clinical study and may have failed to respond to at least one course of conventional therapy. Measurable disease is not required. The only criterion is that these patients have or are suspected to have amyloidogenic plaques and are or have undergone fibrillogenesis.

[0312] In an exemplary clinical protocol, patients may undergo placement of a catheter, or other suitable delivery device, in a cavity will provide an effective means of delivering a therapeutic compounds of the present invention and for sampling the individual for the presence of plaque-forming amyloidogenic peptides. In the same procedure, the the Spi2A polypeptides or Spi2A polypeptide equivalents may be administered alone or in combination with other therapeutic drugs that are commonly used in the treatment of Alzheimer's Disease and other amyloidogenic diseases. The administration may be regional, directly into the fibrillogenic plaque, or in a systemic manner.

[0313] The starting dose may be 0.5 mg/kg body weight. Three patients may be treated at each dose level in the absence of grade ≧3 toxicity. Dose escalation may be done by 100% increments (0.5 mg, 1 mg, 2 mg, 4 mg) until drug related grade 2 toxicity is detected. Thereafter dose escalation may proceed by 25% increments. The administered dose may be fractionated equally into two infusions, separated by six hour intervals if combined with a second drug for any given patient.

[0314] The Spi2A polypeptides or Spi2A polypeptide equivalents, and any other anti-amyloidogenic drug used in combination, may be administered over a short infusion time or at a steady rate of infusion over a 7 to 21 day period. The Spi2A polypeptides or Spi2A polypeptide equivalents may be administered by infusion, alone or in combination with the other anti-amyloidogenic drug. The infusion given at any dose level will be dependent upon the toxicity achieved after each administration. Hence, if Grade II toxicity was reached after any single infusion, or at a particular period of time for a steady rate infusion, further doses should be withheld or the steady rate infusion stopped unless toxicity improved. Increasing doses of the Spi2A polypeptides or Spi2A polypeptide equivalents alone or in combination with another anti-amyloidogenic drug will be administered to groups of patients until approximately 60% of patients show unacceptable Grade III or IV toxicity in any category. Doses that are ⅔ of this value could be defined as the safe dose.

[0315] Physical examination, plaque measurements, and laboratory tests may, of course, be performed before treatment and at intervals of about 3-4 wk later. Laboratory studies should include CBC, differential and platelet count, urinalysis, SMA-12-100 (liver and renal function tests), coagulation profile, and any other appropriate chemistry studies to determine the extent of disease, or determine the cause of existing symptoms. Also appropriate biological markers in serum can be monitored.

[0316] To monitor disease course and evaluate the anti-plaque responses, it is contemplated that the patients can, for example, be examined for appropriate plaques and markers of disease every 4 wk, if initially abnormal. When measurable disease is present, plaque size measurements are to be recorded every 4 wk. Appropriate CAT scanning studies should be repeated every 8 wk to evaluate plaque response. A urinalysis may be performed every 4 wk.

[0317] Clinical responses may be defined by any acceptable measure known to those of skill in the art. For example, a complete response may be defined by the disappearance of all measurable disease for at least a month. Whereas a partial response may be defined by a 50% or greater reduction of the sum of the products of perpendicular diameters of all evaluable fibrillogenic plaques or at least 1 month with no plaque sites showing enlargement. Similarly, a mixed response may be defined by a reduction of the product of perpendicular diameters of all measurable lesions by 50% or greater with progression in one or more sites.

EXAMPLE 14 Clinical Trials of the Use of Spi2A Polypeptides and Spi2A Polypeptide Equivalents in Treating Liver disease

[0318] Hepatic failure and cirrohsis can be treated by the administration of TAT-Spi2A polypeptides or TAT-Spi2A polypeptide equivalents by intravenous injection. It is anticipated that treatmant may reduce hepatocyte necrosis and apoptosis and prevent hepatic failure and cirrohsis (Crawford, 1999). It is anticipated that trials can be under taken to treat acute liver failure and cirrohsis caused by fulminant viral hepatitis (with hepatits A, B, C, D, E and G virus), drugs, chemicals and alcohol. In addition, TAT-Spi2A polypeptides and TAT-Spi2A polypeptide equivalents can be used to treat chronic liver disease and cirrohsis caused by viral hepatitis (with hepatits A, B, C, D, E and G virus), drugs, chemicals and alcohol. The effect of the agent can be measured by the lowering of serum levels of heaptocyte proteins such as transaminases and a reduction in patient jaundice.

[0319] All of the compositions and methods disclosed and claimed herein can be made and executed without undue experimentation in light of the present disclosure. While the compositions and methods of this invention have been described in terms of preferred embodiments, it will be apparent to those of skill in the art that variations may be applied to the compositions and methods and in the steps or in the sequence of steps of the method described herein without departing from the concept, spirit and scope of the invention. More specifically, it will be apparent that certain agents which are both chemically and physiologically related may be substituted for the agents described herein while the same or similar results would be achieved. All such similar substitutes and modifications apparent to those skilled in the art are deemed to be within the spirit, scope and concept of the invention as defined by the appended claims.

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1 25 1 1323 DNA Homo sapiens 1 atggctggtg tctcccctgc tgtctttggc tgcccagatg tcaccctggg aaggaacact 60 gcagtccgtg aagtacaaga aaatgtcaca tcagtggaca gtttaacact ggtctccagc 120 aacactgact ttgccttcag cctctacagg aagctggttt tgaagaatcc agatgaaaat 180 gttgtcttct ccccattcag catctgcact gccttggccc tcctgtccct gggagcaaag 240 agcaacaccc tgaaggaaat cctagaaggt ctcaagttca acctcacaga gacccctgaa 300 ccagacatcc accagggctt taggtacttg ctagaccttc taagtcagcc agggaaccag 360 gtacagatca gcacaggcag tgccctgttt attgaaaagc acctacagat cctggcagag 420 ttcaaggaga aggcaagggc tctgtaccag gctgaggcct tcacagcaga tttccagcaa 480 cctctcaagg ccacaaagct catcaatgac tatgtgagca atcacaccca ggggaagatc 540 aaggaactca tctcaggcct gaaagagagc acgttgatgg tgctggtgaa ctacatctac 600 tttaaaggca aatggaagaa cccctttgac ccgaatgata catttaagtc cgagttctac 660 ttggatgaga agaggtctgt gattgtgtcc atgatgaaaa ctggttacct gacgacaccc 720 tacttccggg atgaggagct gtcctgcact gtggtggagc tgaagtacac aggaaatgcc 780 agtgccatgt tcatcctccc tgaccagggc aggatgcagc aggtggaagc aagcttacaa 840 ccagagaccc tgaggaagtg gaagaactct ctgaagccca ggatgataca tgagctccgc 900 ctgcccaagt tctccatctc caccgactat agcctggagc acatccttcc tgagttgggc 960 atcagggaag tcttctccac acacgctgac ctgtctgcaa tcacaggaac taaggatctg 1020 agagtctctc aggtggtcca caaggctgtg ctggatgtgg ctgagaaagg cacagaggct 1080 gctgctgcca caggaatggc aggtgtcgga tgttgtgcag tttttgactt tctggaaata 1140 tttttcaaca ggccattcct gatgattatc tctgacacaa aagctcacat tgccctcttt 1200 atggcaaaag ttacaaatcc agagagatct acgaacttcc caaatggtga gggtgcttct 1260 tcccaacggc tggaatctaa gcgtttatgt tttggtgatc cgctatgcct gattggacag 1320 tga 1323 2 440 PRT Homo sapiens 2 Met Ala Gly Val Ser Pro Ala Val Phe Gly Cys Pro Asp Val Thr Leu 1 5 10 15 Gly Arg Asn Thr Ala Val Arg Glu Val Gln Glu Asn Val Thr Ser Val 20 25 30 Asp Ser Leu Thr Leu Val Ser Ser Asn Thr Asp Phe Ala Phe Ser Leu 35 40 45 Tyr Arg Lys Leu Val Leu Lys Asn Pro Asp Glu Asn Val Val Phe Ser 50 55 60 Pro Phe Ser Ile Cys Thr Ala Leu Ala Leu Leu Ser Leu Gly Ala Lys 65 70 75 80 Ser Asn Thr Leu Lys Glu Ile Leu Glu Gly Leu Lys Phe Asn Leu Thr 85 90 95 Glu Thr Pro Glu Pro Asp Ile His Gln Gly Phe Arg Tyr Leu Leu Asp 100 105 110 Leu Leu Ser Gln Pro Gly Asn Gln Val Gln Ile Ser Thr Gly Ser Ala 115 120 125 Leu Phe Ile Glu Lys His Leu Gln Ile Leu Ala Glu Phe Lys Glu Lys 130 135 140 Ala Arg Ala Leu Tyr Gln Ala Glu Ala Phe Thr Ala Asp Phe Gln Gln 145 150 155 160 Pro Leu Lys Ala Thr Lys Leu Ile Asn Asp Tyr Val Ser Asn His Thr 165 170 175 Gln Gly Lys Ile Lys Glu Leu Ile Ser Gly Leu Lys Glu Ser Thr Leu 180 185 190 Met Val Leu Val Asn Tyr Ile Tyr Phe Lys Gly Lys Trp Lys Asn Pro 195 200 205 Phe Asp Pro Asn Asp Thr Phe Lys Ser Glu Phe Tyr Leu Asp Glu Lys 210 215 220 Arg Ser Val Ile Val Ser Met Met Lys Thr Gly Tyr Leu Thr Thr Pro 225 230 235 240 Tyr Phe Arg Asp Glu Glu Leu Ser Cys Thr Val Val Glu Leu Lys Tyr 245 250 255 Thr Gly Asn Ala Ser Ala Met Phe Ile Leu Pro Asp Gln Gly Arg Met 260 265 270 Gln Gln Val Glu Ala Ser Leu Gln Pro Glu Thr Leu Arg Lys Trp Lys 275 280 285 Asn Ser Leu Lys Pro Arg Met Ile His Glu Leu Arg Leu Pro Lys Phe 290 295 300 Ser Ile Ser Thr Asp Tyr Ser Leu Glu His Ile Leu Pro Glu Leu Gly 305 310 315 320 Ile Arg Glu Val Phe Ser Thr His Ala Asp Leu Ser Ala Ile Thr Gly 325 330 335 Thr Lys Asp Leu Arg Val Ser Gln Val Val His Lys Ala Val Leu Asp 340 345 350 Val Ala Glu Lys Gly Thr Glu Ala Ala Ala Ala Thr Gly Met Ala Gly 355 360 365 Val Gly Cys Cys Ala Val Phe Asp Phe Leu Glu Ile Phe Phe Asn Arg 370 375 380 Pro Phe Leu Met Ile Ile Ser Asp Thr Lys Ala His Ile Ala Leu Phe 385 390 395 400 Met Ala Lys Val Thr Asn Pro Glu Arg Ser Thr Asn Phe Pro Asn Gly 405 410 415 Glu Gly Ala Ser Ser Gln Arg Leu Glu Ser Lys Arg Leu Cys Phe Gly 420 425 430 Asp Pro Leu Cys Leu Ile Gly Gln 435 440 3 379 PRT Homo sapiens 3 Met Glu Gln Leu Ser Ser Ala Asn Thr Arg Phe Ala Leu Asp Leu Phe 1 5 10 15 Leu Ala Leu Ser Glu Asn Asn Pro Ala Gly Asn Ile Phe Ile Ser Pro 20 25 30 Phe Ser Ile Ser Ser Ala Met Ala Met Val Phe Leu Gly Thr Arg Gly 35 40 45 Asn Thr Ala Ala Gln Leu Ser Lys Thr Phe His Phe Asn Thr Val Glu 50 55 60 Glu Val His Ser Arg Phe Gln Ser Leu Asn Ala Asp Ile Asn Lys Arg 65 70 75 80 Gly Ala Ser Tyr Ile Leu Lys Leu Ala Asn Arg Leu Tyr Gly Glu Lys 85 90 95 Thr Tyr Asn Phe Leu Pro Glu Phe Leu Val Ser Thr Gln Lys Thr Tyr 100 105 110 Gly Ala Asp Leu Ala Ser Val Asp Phe Gln His Ala Ser Glu Asp Ala 115 120 125 Arg Lys Thr Ile Asn Gln Trp Val Lys Gly Gln Thr Glu Gly Lys Ile 130 135 140 Pro Glu Leu Leu Ala Ser Gly Met Val Asp Asn Met Thr Lys Leu Val 145 150 155 160 Leu Val Asn Ala Ile Tyr Phe Lys Gly Asn Trp Lys Asp Lys Phe Met 165 170 175 Lys Glu Ala Thr Thr Asn Ala Pro Phe Arg Leu Asn Lys Lys Asp Arg 180 185 190 Lys Thr Val Lys Met Met Tyr Gln Lys Lys Lys Phe Ala Tyr Gly Tyr 195 200 205 Ile Glu Asp Leu Lys Cys Arg Val Leu Glu Leu Pro Tyr Gln Gly Glu 210 215 220 Glu Leu Ser Met Val Ile Leu Leu Pro Asp Asp Ile Glu Asp Glu Ser 225 230 235 240 Thr Gly Leu Lys Lys Ile Glu Glu Gln Leu Thr Leu Glu Lys Leu His 245 250 255 Glu Trp Thr Lys Pro Glu Asn Leu Asp Phe Ile Glu Val Asn Val Ser 260 265 270 Leu Pro Arg Phe Lys Leu Glu Glu Ser Tyr Thr Leu Asn Ser Asp Leu 275 280 285 Ala Arg Leu Gly Val Gln Asp Leu Phe Asn Ser Ser Lys Ala Asp Leu 290 295 300 Ser Gly Met Ser Gly Ala Arg Asp Ile Phe Ile Ser Lys Ile Val His 305 310 315 320 Lys Ser Phe Val Glu Val Asn Glu Glu Gly Thr Glu Ala Ala Ala Ala 325 330 335 Thr Ala Gly Ile Ala Thr Phe Cys Met Leu Met Pro Glu Glu Asn Phe 340 345 350 Thr Ala Asp His Pro Phe Leu Phe Phe Ile Arg His Asn Ser Ser Gly 355 360 365 Ser Ile Leu Phe Leu Gly Arg Phe Ser Ser Pro 370 375 4 415 PRT Homo sapiens 4 Met Glu Asp Leu Cys Val Ala Asn Thr Leu Phe Ala Leu Asn Leu Phe 1 5 10 15 Lys His Leu Ala Lys Ala Ser Pro Thr Gln Asn Leu Phe Leu Ser Pro 20 25 30 Trp Ser Ile Ser Ser Thr Met Ala Met Val Tyr Met Gly Ser Arg Gly 35 40 45 Ser Thr Glu Asp Gln Met Ala Lys Val Leu Gln Phe Asn Glu Val Gly 50 55 60 Ala Asn Ala Val Thr Pro Met Thr Pro Glu Asn Phe Thr Ser Cys Gly 65 70 75 80 Phe Met Gln Gln Ile Gln Lys Gly Ser Tyr Pro Asp Ala Ile Leu Gln 85 90 95 Ala Gln Ala Ala Asp Lys Ile His Ser Ser Phe Arg Ser Leu Ser Ser 100 105 110 Ala Ile Asn Ala Ser Thr Gly Asn Tyr Leu Leu Glu Ser Val Asn Lys 115 120 125 Leu Phe Gly Glu Lys Ser Ala Ser Phe Arg Glu Glu Tyr Ile Arg Leu 130 135 140 Cys Gln Lys Tyr Tyr Ser Ser Glu Pro Gln Ala Val Asp Phe Leu Glu 145 150 155 160 Cys Ala Glu Glu Ala Arg Lys Lys Ile Asn Ser Trp Val Lys Thr Gln 165 170 175 Thr Lys Gly Lys Ile Pro Asn Leu Leu Pro Glu Gly Ser Val Asp Gly 180 185 190 Asp Thr Arg Met Val Leu Val Asn Ala Val Tyr Phe Lys Gly Lys Trp 195 200 205 Lys Thr Pro Phe Glu Lys Lys Leu Asn Gly Leu Tyr Pro Phe Arg Val 210 215 220 Asn Ser Ala Gln Arg Thr Pro Val Gln Met Met Tyr Leu Arg Glu Lys 225 230 235 240 Leu Asn Ile Gly Tyr Ile Glu Asp Leu Lys Ala Gln Ile Leu Glu Leu 245 250 255 Pro Tyr Ala Gly Asp Val Ser Met Phe Leu Leu Leu Pro Asp Glu Ile 260 265 270 Ala Asp Val Ser Thr Gly Leu Glu Leu Leu Glu Ser Glu Ile Thr Tyr 275 280 285 Asp Lys Leu Asn Lys Trp Thr Ser Lys Asp Lys Met Ala Glu Asp Glu 290 295 300 Val Glu Val Tyr Ile Pro Gln Phe Lys Leu Glu Glu His Tyr Glu Leu 305 310 315 320 Arg Ser Ile Leu Arg Ser Met Gly Met Glu Asp Ala Phe Asn Lys Gly 325 330 335 Arg Ala Asn Phe Ser Gly Met Ser Glu Arg Asn Asp Leu Phe Leu Ser 340 345 350 Glu Val Phe His Gln Ala Met Val Asp Val Asn Glu Glu Gly Thr Glu 355 360 365 Ala Ala Ala Gly Thr Gly Gly Val Met Thr Gly Arg Thr Gly His Gly 370 375 380 Gly Pro Gln Phe Val Ala Asp His Pro Phe Leu Phe Leu Ile Met His 385 390 395 400 Lys Ile Thr Asn Cys Ile Leu Phe Phe Gly Arg Phe Ser Ser Pro 405 410 415 5 390 PRT Homo sapiens 5 Met Asn Ser Leu Ser Glu Ala Asn Thr Lys Phe Met Phe Asp Leu Phe 1 5 10 15 Gln Gln Phe Arg Lys Ser Lys Glu Asn Asn Ile Phe Tyr Ser Pro Ile 20 25 30 Ser Ile Thr Ser Ala Leu Gly Met Val Leu Leu Gly Ala Lys Asp Asn 35 40 45 Thr Ala Gln Gln Ile Lys Lys Val Leu His Phe Asp Gln Val Thr Glu 50 55 60 Asn Thr Thr Gly Lys Ala Ala Thr Tyr His Val Asp Arg Ser Gly Asn 65 70 75 80 Val His His Gln Phe Gln Lys Leu Leu Thr Glu Phe Asn Lys Ser Thr 85 90 95 Asp Ala Tyr Glu Leu Lys Ile Ala Asn Lys Leu Phe Gly Glu Lys Thr 100 105 110 Tyr Leu Phe Leu Gln Glu Tyr Leu Asp Ala Ile Lys Lys Phe Tyr Gln 115 120 125 Thr Ser Val Glu Ser Val Asp Phe Ala Asn Ala Pro Glu Glu Ser Arg 130 135 140 Lys Lys Ile Asn Ser Trp Val Glu Ser Gln Thr Asn Glu Lys Ile Lys 145 150 155 160 Asn Leu Ile Pro Glu Gly Asn Ile Gly Ser Asn Thr Thr Leu Val Leu 165 170 175 Val Asn Ala Ile Tyr Phe Lys Gly Gln Trp Glu Lys Lys Phe Asn Lys 180 185 190 Glu Asp Thr Lys Glu Glu Lys Phe Trp Pro Asn Lys Asn Thr Tyr Lys 195 200 205 Ser Ile Gln Met Met Arg Gln Tyr Thr Ser Phe His Phe Ala Ser Leu 210 215 220 Glu Asp Val Gln Ala Lys Val Leu Glu Ile Pro Tyr Lys Gly Lys Asp 225 230 235 240 Leu Ser Met Ile Val Leu Leu Pro Asn Glu Ile Asp Gly Leu Gln Lys 245 250 255 Leu Glu Glu Lys Leu Thr Ala Glu Lys Leu Met Glu Trp Thr Ser Leu 260 265 270 Gln Asn Met Arg Glu Thr Arg Val Asp Leu His Leu Pro Arg Phe Lys 275 280 285 Val Glu Glu Ser Tyr Asp Leu Lys Asp Thr Leu Arg Thr Met Gly Met 290 295 300 Val Asp Ile Phe Asn Gly Asp Ala Asp Leu Ser Gly Met Thr Gly Ser 305 310 315 320 Arg Gly Leu Val Leu Ser Gly Val Leu His Lys Ala Phe Val Glu Val 325 330 335 Thr Glu Glu Gly Ala Glu Ala Ala Ala Ala Thr Ala Val Val Gly Phe 340 345 350 Gly Ser Ser Pro Thr Ser Thr Asn Glu Glu Phe His Cys Asn His Pro 355 360 365 Phe Leu Phe Phe Ile Arg Gln Asn Lys Thr Asn Ser Ile Leu Phe Tyr 370 375 380 Gly Arg Phe Ser Ser Pro 385 390 6 390 PRT Homo sapiens 6 Met Asn Ser Leu Ser Glu Ala Asn Thr Lys Phe Met Phe Asp Leu Phe 1 5 10 15 Gln Gln Phe Arg Lys Ser Lys Glu Asn Asn Ile Phe Tyr Ser Pro Ile 20 25 30 Ser Ile Thr Ser Ala Leu Gly Met Val Leu Leu Gly Ala Lys Asp Asn 35 40 45 Thr Ala Gln Gln Ile Ser Lys Val Leu His Phe Asp Gln Val Thr Glu 50 55 60 Asn Thr Thr Glu Lys Ala Ala Thr Tyr His Val Asp Arg Ser Gly Asn 65 70 75 80 Val His His Gln Phe Gln Lys Leu Leu Thr Glu Phe Asn Lys Ser Thr 85 90 95 Asp Ala Tyr Glu Leu Lys Ile Ala Asn Lys Leu Phe Gly Glu Lys Thr 100 105 110 Tyr Gln Phe Leu Gln Glu Tyr Leu Asp Ala Ile Lys Lys Phe Tyr Gln 115 120 125 Thr Ser Val Glu Ser Thr Asp Phe Ala Asn Ala Pro Glu Glu Ser Arg 130 135 140 Lys Lys Ile Asn Ser Trp Val Glu Ser Gln Thr Asn Glu Lys Ile Lys 145 150 155 160 Asn Leu Phe Pro Asp Gly Thr Ile Gly Asn Asp Thr Thr Leu Val Leu 165 170 175 Val Asn Ala Ile Tyr Phe Lys Gly Gln Trp Glu Asn Lys Phe Lys Lys 180 185 190 Glu Asn Thr Lys Glu Glu Lys Phe Trp Pro Asn Lys Asn Thr Tyr Lys 195 200 205 Ser Val Gln Met Met Arg Gln Tyr Asn Ser Phe Asn Phe Ala Leu Leu 210 215 220 Glu Asp Val Gln Ala Lys Val Leu Glu Ile Pro Tyr Lys Gly Lys Asp 225 230 235 240 Leu Ser Met Ile Val Leu Leu Pro Asn Glu Ile Asp Gly Leu Gln Lys 245 250 255 Leu Glu Glu Lys Leu Thr Ala Glu Lys Leu Met Glu Trp Thr Ser Leu 260 265 270 Gln Asn Met Arg Glu Thr Cys Val Asp Leu His Leu Pro Arg Phe Lys 275 280 285 Met Glu Glu Ser Tyr Asp Leu Lys Asp Thr Leu Arg Thr Met Gly Met 290 295 300 Val Asn Ile Phe Asn Gly Asp Ala Asp Leu Ser Gly Met Thr Trp Ser 305 310 315 320 His Gly Leu Ser Val Ser Lys Val Leu His Lys Ala Phe Val Glu Val 325 330 335 Thr Glu Glu Gly Val Glu Ala Ala Ala Ala Thr Ala Val Val Val Val 340 345 350 Glu Leu Ser Ser Pro Ser Thr Asn Glu Glu Phe Cys Cys Asn His Pro 355 360 365 Phe Leu Phe Phe Ile Arg Gln Asn Lys Thr Asn Ser Ile Leu Phe Tyr 370 375 380 Gly Arg Phe Ser Ser Pro 385 390 7 376 PRT Homo sapiens 7 Met Asp Val Leu Ala Glu Ala Asn Gly Thr Phe Ala Leu Asn Leu Leu 1 5 10 15 Lys Thr Leu Gly Lys Asp Asn Ser Lys Asn Val Phe Phe Ser Pro Met 20 25 30 Ser Met Ser Cys Ala Leu Ala Met Val Tyr Met Gly Ala Lys Gly Asn 35 40 45 Thr Ala Ala Gln Met Ala Gln Ile Leu Ser Phe Asn Lys Ser Gly Gly 50 55 60 Gly Gly Asp Ile His Gln Gly Phe Gln Ser Leu Leu Thr Glu Val Asn 65 70 75 80 Lys Thr Gly Thr Gln Tyr Leu Leu Arg Val Ala Asn Arg Leu Phe Gly 85 90 95 Glu Lys Ser Cys Asp Phe Leu Ser Ser Phe Arg Asp Ser Cys Gln Lys 100 105 110 Phe Tyr Gln Ala Glu Met Glu Glu Leu Asp Phe Ile Ser Ala Val Glu 115 120 125 Lys Ser Arg Lys His Ile Asn Thr Trp Val Ala Glu Lys Thr Glu Gly 130 135 140 Lys Ile Ala Glu Leu Leu Ser Pro Gly Ser Val Asp Pro Leu Thr Arg 145 150 155 160 Leu Val Leu Val Asn Ala Val Tyr Phe Arg Gly Asn Trp Asp Gly Gln 165 170 175 Phe Asp Lys Glu Asn Thr Glu Glu Arg Leu Phe Lys Val Ser Lys Asn 180 185 190 Glu Glu Lys Pro Val Gln Met Met Phe Lys Gln Ser Thr Phe Lys Lys 195 200 205 Thr Tyr Ile Gly Glu Ile Phe Thr Gln Ile Leu Val Leu Pro Tyr Val 210 215 220 Gly Lys Glu Leu Asn Met Ile Ile Met Leu Pro Asp Glu Thr Thr Asp 225 230 235 240 Leu Arg Thr Val Glu Lys Glu Leu Thr Tyr Glu Lys Phe Val Glu Trp 245 250 255 Thr Arg Leu Asp Met Met Asp Glu Glu Glu Val Glu Val Ser Leu Pro 260 265 270 Arg Phe Lys Leu Glu Glu Ser Tyr Asp Met Glu Ser Val Leu Arg Asn 275 280 285 Leu Gly Met Thr Asp Ala Phe Glu Leu Gly Lys Ala Asp Phe Ser Gly 290 295 300 Met Ser Gln Thr Asp Leu Ser Leu Ser Lys Val Val His Lys Ser Phe 305 310 315 320 Val Glu Val Asn Glu Glu Gly Thr Glu Ala Ala Ala Ala Thr Ala Ala 325 330 335 Ile Met Met Met Arg Cys Ala Arg Phe Val Pro Arg Phe Cys Ala Asp 340 345 350 His Pro Phe Leu Phe Phe Ile Gln His Arg Lys Thr Asn Gly Ile Leu 355 360 365 Phe Cys Gly Arg Phe Ser Ser Pro 370 375 8 374 PRT Homo sapiens 8 Met Asp Asp Leu Cys Glu Ala Asn Gly Thr Phe Ala Ile Ser Leu Phe 1 5 10 15 Lys Ile Leu Gly Glu Glu Asp Asn Ser Arg Asn Val Phe Phe Ser Pro 20 25 30 Met Ser Ile Ser Ser Ala Leu Ala Met Val Phe Met Gly Ala Lys Gly 35 40 45 Ser Thr Ala Ala Gln Met Ser Gln Ala Leu Cys Leu Tyr Lys Asp Gly 50 55 60 Asp Ile His Arg Gly Phe Gln Ser Leu Leu Ser Glu Val Asn Arg Thr 65 70 75 80 Gly Thr Gln Tyr Leu Leu Arg Thr Ala Asn Arg Leu Phe Gly Glu Lys 85 90 95 Thr Cys Asp Phe Leu Pro Asp Phe Lys Glu Tyr Cys Gln Lys Phe Tyr 100 105 110 Gln Ala Glu Leu Glu Glu Leu Ser Phe Ala Glu Asp Thr Glu Glu Cys 115 120 125 Arg Lys His Ile Asn Asp Trp Val Ala Glu Lys Thr Glu Gly Lys Ile 130 135 140 Ser Glu Val Leu Asp Ala Gly Thr Val Asp Pro Leu Thr Lys Leu Val 145 150 155 160 Leu Val Asn Ala Ile Tyr Phe Lys Gly Lys Trp Asn Glu Gln Phe Asp 165 170 175 Arg Lys Tyr Thr Arg Gly Met Leu Phe Lys Thr Asn Glu Glu Lys Lys 180 185 190 Thr Val Gln Met Met Phe Lys Glu Ala Lys Phe Lys Met Gly Tyr Ala 195 200 205 Asp Glu Val His Thr Gln Val Leu Glu Leu Pro Tyr Val Glu Glu Glu 210 215 220 Leu Ser Met Val Ile Leu Leu Pro Asp Asp Asn Thr Asp Leu Ala Val 225 230 235 240 Val Glu Lys Ala Leu Thr Tyr Glu Lys Phe Lys Ala Trp Thr Asn Ser 245 250 255 Glu Lys Leu Thr Lys Ser Lys Val Gln Val Phe Leu Pro Arg Leu Lys 260 265 270 Leu Glu Glu Ser Tyr Asp Leu Glu Pro Phe Leu Arg Arg Leu Gly Met 275 280 285 Ile Asp Ala Phe Asp Glu Ala Lys Ala Asp Phe Ser Gly Met Ser Thr 290 295 300 Glu Lys Asn Val Pro Leu Ser Lys Val Ala His Lys Cys Phe Val Glu 305 310 315 320 Val Asn Glu Glu Gly Thr Glu Ala Ala Ala Ala Thr Ala Val Val Arg 325 330 335 Asn Ser Arg Cys Ser Arg Met Glu Pro Arg Phe Cys Ala Asp His Pro 340 345 350 Phe Leu Phe Phe Ile Arg Arg His Lys Thr Asn Cys Ile Leu Phe Cys 355 360 365 Gly Arg Phe Ser Ser Pro 370 9 376 PRT Homo sapiens 9 Met Glu Thr Leu Ser Asn Ala Ser Gly Thr Phe Ala Ile Arg Leu Leu 1 5 10 15 Lys Ile Leu Cys Gln Asp Asn Pro Ser His Asn Val Phe Cys Ser Pro 20 25 30 Val Ser Ile Ser Ser Ala Leu Ala Met Val Leu Leu Gly Ala Lys Gly 35 40 45 Asn Thr Ala Thr Gln Met Ala Gln Ala Leu Ser Leu Asn Thr Glu Glu 50 55 60 Asp Ile His Arg Ala Phe Gln Ser Leu Leu Thr Glu Val Asn Lys Ala 65 70 75 80 Gly Thr Gln Tyr Leu Leu Arg Thr Ala Asn Arg Leu Phe Gly Glu Lys 85 90 95 Thr Cys Gln Phe Leu Ser Thr Phe Lys Glu Ser Cys Leu Gln Phe Tyr 100 105 110 His Ala Glu Leu Lys Glu Leu Ser Phe Ile Arg Ala Ala Glu Glu Ser 115 120 125 Arg Lys His Ile Asn Thr Trp Val Ser Lys Lys Thr Glu Gly Lys Ile 130 135 140 Glu Glu Leu Leu Pro Gly Ser Ser Ile Asp Ala Glu Thr Arg Leu Val 145 150 155 160 Leu Val Asn Ala Ile Tyr Phe Lys Gly Lys Trp Asn Glu Pro Phe Asp 165 170 175 Glu Thr Tyr Thr Arg Glu Met Pro Phe Lys Ile Asn Gln Glu Glu Gln 180 185 190 Arg Pro Val Gln Met Met Tyr Gln Glu Ala Thr Phe Lys Leu Ala His 195 200 205 Val Gly Glu Val Arg Ala Gln Leu Leu Glu Leu Pro Tyr Ala Arg Lys 210 215 220 Glu Leu Ser Leu Leu Val Leu Leu Pro Asp Asp Gly Val Glu Leu Ser 225 230 235 240 Thr Val Glu Lys Ser Leu Thr Phe Glu Lys Leu Thr Ala Trp Thr Lys 245 250 255 Pro Asp Cys Met Lys Ser Thr Glu Val Glu Val Leu Leu Pro Lys Phe 260 265 270 Lys Leu Gln Glu Asp Tyr Asp Met Glu Ser Val Leu Arg His Leu Gly 275 280 285 Ile Val Asp Ala Phe Gln Gln Gly Lys Ala Asp Leu Ser Ala Met Ser 290 295 300 Ala Glu Arg Asp Leu Cys Leu Ser Lys Phe Val His Lys Ser Phe Val 305 310 315 320 Glu Val Asn Glu Glu Gly Thr Glu Ala Ala Ala Ala Ser Ser Cys Phe 325 330 335 Val Val Ala Glu Cys Cys Met Glu Ser Gly Pro Arg Phe Cys Ala Asp 340 345 350 His Pro Phe Leu Phe Phe Ile Arg His Asn Arg Ala Asn Ser Ile Leu 355 360 365 Phe Cys Gly Arg Phe Ser Ser Pro 370 375 10 8 PRT Artificial Sequence Description of Artificial Sequence Synthetic Peptide 10 Met Ala Gly Val Gly Cys Cys Ala 1 5 11 8 PRT Artificial Sequence Description of Artificial Sequence Synthetic Peptide 11 Phe Val Val Ala Glu Cys Cys Met 1 5 12 22 DNA Artificial Sequence Description of Artificial Sequence Synthetic Peptide 12 aaccagagac cctgaggaag tg 22 13 17 DNA Artificial Sequence Description of Artificial Sequence Synthetic Peptide 13 aacttgggca ggcgcag 17 14 32 DNA Artificial Sequence Description of Artificial Sequence Synthetic Peptide 14 aagaactctc tgaagcccag gatgatacat ga 32 15 24 DNA Artificial Sequence Description of Artificial Sequence Synthetic Peptide 15 ccatcaaacc attccttctg tagc 24 16 23 DNA Artificial Sequence Description of Artificial Sequence Synthetic Peptide 16 agcagagatt acaggacatt gcg 23 17 25 DNA Artificial Sequence Description of Artificial Sequence Synthetic Peptide 17 caggagagcg tgcctacccc atctg 25 18 32 DNA Artificial Sequence Description of Artificial Sequence Synthetic Peptide 18 agaattcgcc accatggctg gtgtctcccc tg 32 19 38 DNA Artificial Sequence Description of Artificial Sequence Synthetic Peptide 19 tgtggatcct ccctgtcaaa tcaggcagca tagcggat 38 20 26 DNA Artificial Sequence Description of Artificial Sequence Synthetic Peptide 20 gtgaattcat cactacttgt catcgt 26 21 18 PRT Artificial Sequence Description of Artificial Sequence Synthetic Peptide 21 Asn Pro Glu Arg Ser Thr Asn Phe Pro Asn Gly Glu Gly Ala Ser Ser 1 5 10 15 Gln Arg 22 17 PRT Artificial Sequence Description of Artificial Sequence Synthetic Peptide 22 Ser Leu Gln Pro Glu Thr Leu Arg Lys Trp Lys Asn Ser Leu Lys Pro 1 5 10 15 Arg 23 9 PRT Artificial Sequence Description of Artificial Sequence Synthetic Peptide 23 Phe Gln Pro Gln Asn Gly Gln Phe Ile 1 5 24 9 PRT Artificial Sequence Description of Artificial Sequence Synthetic Peptide 24 Lys Ala Val Tyr Asn Phe Ala Thr Met 1 5 25 11 PRT Artificial Sequence Description of Artificial Sequence Synthetic Peptide 25 Ser Gly Val Glu Asn Pro Gly Gly Tyr Cys Leu 1 5 10 

1. A method for modulating cell death in a cell comprising contacting said cell with an Spi2A polypeptide or an Spi2A polypeptide equivalent.
 2. The method of claim 1, wherein the cell is contacted with an Spi2A polypeptide.
 3. The method of claim 1, wherein the cell is contacted with an Spi2A polypeptide equivalent.
 4. The method of claim 3, wherein the Spi2A polypeptide equivalent is a polypeptide from Serpin B1, Serpin B2, Serpin B3, Serpin B4, Serpin B6, Serpin B8, or Serpin B9.
 5. The method of claim 4, wherein the Spi2A polypeptide equivalent is a polypeptide from Serpin B9.
 6. The method of claim 1, wherein the Spi2A polypeptide or Spi2A polypeptide equivalent is a polypeptide comprising 4 to 8 consecutive amino acid residues of the amino acid sequences MAGVGCCA or FVVAECCM. 7-11. (Canceled)
 12. The method of claim 1, further defined as a method of modulating apoptosis.
 13. The method of claim 1, wherein said cell is a T lymphocyte.
 14. The method of claim 12, wherein said method is further defined as a method for facilitating the differentiation of said lymphocyte into a memory T lymphocyte.
 15. The method of claim 14, further defined as a method of promoting the development of an immune response in a subject against a target cell.
 16. The method of claim 1, wherein the Spi2A polypeptide or Spi2A polypeptide equivalent is comprised in a vaccine.
 17. The method of claim 15, wherein the target cell is a tumor cell or a cell that is infected by a pathogen. 18-20. (Canceled)
 21. The method of claim 12, wherein said apoptosis is apoptosis due to increased lysosomal permeability in said cell.
 22. The method of claim 21, wherein said increased lysosomal permeability results in release of at least one lysosomal protease within said cell.
 23. The method of claim 22, wherein said lysosomal protease is a cysteine protease.
 24. (Canceled)
 25. The method of claim 1, further defined as a method of modulating autophagic cell death.
 26. The method of claim 1, further defined as a method of modulating TNF-α-mediated cell death.
 27. The method of claim 1, further defined as a method of modulating cell death due to reactive oxygen species within said cell.
 28. The method of claim 1, further defined as a method of modulating cell death due to necrosis.
 29. The method of claim 1, wherein said cell is in a subject.
 30. The method of claim 29, wherein said subject is a human.
 31. The method of claim 30, wherein said human is a patient with an infection.
 32. (Canceled)
 33. The method of claim 31, wherein the infection is an infection due to a biological weapon.
 34. (Canceled)
 35. The method of claim 30, wherein said human is a patient with septic shock.
 36. The method of claim 30, wherein said human is a patient with hepatic failure.
 37. The method of claim 36, wherein the hepatic failure is fulminating hepatic failure.
 38. (Canceled)
 39. The method of claim 30, wherein said human is a patient with an inflammatory disease.
 40. The method of claim 39, wherein the inflammatory disease is liver disease. 41-45. (Canceled)
 46. The method of claim 30, wherein said human is a patient with vascular disease. 47-48. (Canceled)
 49. The method of claim 46, wherein said vascular disease is a myocardial infarction.
 50. The method of claim 30, wherein said human is a patient with cancer.
 51. The method of claim 30, wherein said human is a patient with a bone disease.
 52. The method of claim 51, wherein the bone disease is osteoporosis. 53-55. (Canceled)
 56. The method of claim 30, wherein said human is a patient with a viral infection. 57-58. (Canceled)
 59. The method of claim 58, wherein said immune disorder is an autoimmune disorder.
 60. (Canceled)
 61. The method of claim 30, wherein said human is a patient with multiple sclerosis.
 62. (Canceled)
 63. The method of claim 30, wherein said human is a patient with arthritis.
 64. The method of claim 63, wherein said patient with arthritis is a patient with rheumatoid arthritis. 65-90. (Canceled)
 91. A method of treating a subject comprising: (a) providing a composition comprising: (1) an Spi2A polypeptide or an Spi2A polypeptide equivalent; and (2) a pharmaceutical preparation suitable for delivery to said subject; and (b) administering said composition to said subject. 92-187. (Canceled)
 188. A method of preparing donor granulocytes for storage, comprising: (a) obtaining donor granulocytes from a suitable donor; (b) isolating said donor granulocytoes; (c) contacting said donor granulocytes with a composition comprising an Spi2A polypeptide or an Spi2A polypeptide equivalent and a pharmaceutical preparation suitable for delivery of said donor granulocytes; and (d) storing said donor granulocytes.
 189. The method of claim 188, further comprising treatment of the donor with C-GSF prior to obtaining granulocytes from the donor.
 190. The method of claim 189, further comprising purifying the granulocytes by leukapheresis following isolation of the granulocytes.
 191. The method of claim 188, wherein said composition comprises an Spi2A polypeptide.
 192. The method of claim 188, wherein said composition comprises an Spi2A polypeptide equivalent.
 193. The method of claim 188, wherein the Spi2A polypeptide or Spi2A polypeptide equivalent is a polypeptide comprising 4 to 8 consecutive amino acid residues of the amino acid sequences MAGVGCCA or FVVAECCM. 194-198. (Canceled)
 199. The method of claim 192, wherein the Spi2A polypeptide equivalent is a polypeptide from Serpin B1, Serpin B2, Serpin B3, Serpin B4, Serpin B6, Serpin B8, or Serpin B9.
 200. The method of claim 199, wherein the Spi2A polypeptide equivalent is a polypeptide from Serpin B9.
 201. The method of claim 188, wherein said method of storing donor granulocytes results in reduction of apoptosis of said donor granulocytes. 202-204. (Canceled) 